Keep Your Wheels

1. Are you aged between 16 and 24 years old?
   Yes? Great! So what is your date of birth?

   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

   Month January February March April May June July August September October November December

   Year 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996

2. Do you live in Bristol, Bath & NE Somerset, South Gloucestershire or North Somerset?

   Not sure?
   Find out here

   Where do you live?

   Be sure to find out where you live my checking the Direct.gov web site

   Please select... Bristol Bath & North East Somerset South Gloucestershire North Somerset

3. Have you passed your CBT?

   Yes No

4. Can you provide us with the following paperwork:

   • CBT Certificate
   • Insurance Policy
   • MOT Certificate (if bike is OVER 3 years old), or, Proof of Purchase (if bike is UNDER 3 years old)
   • Driving Licence (the paper part)

   Why do we need them? Find out here

   Paperwork

   To make sure you are riding legally we require copies of your legal documents to prove your roadworthiness.

   You can e-mail, photo message, fax or FREEPOST copies of your documents to us!

   Yes No

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Sex:* Please select… Male Female

Address:*

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e.g. http://www.facebook.com/keepyourwheels