Lake District Intensive Driving        Online Enquiry Form (please complete)

 Please enter your name:

     Address - House name or number:

                     Town or City:

                     Post code:

 Please enter a contact phone number:

 Please enter your email address:

 Have you received your driving licence?

 Yes No

   If Yes, would be prepared to text your licence number to us?:

 Yes No  (We do not keep this infomation on our computers)

 Have you passed the DSA Theory Test?

 Yes No

   If Yes would be prepared to text your theory certificate number to us?::

 Yes No  (We do not keep this infomation on our computers)

 What level of driving have you reached?

 None  Beginner  Retest  Advanced

 How many hours training to you require?

  (Select then use CTRL-click to confirm)

             Your preferred date - From :

             Your preferred date - To :

 Please enter any comments or your message:
              Office at Field Cottage, Church Road, Levens, Kendal, Cumbria LA8 8PP - Tel: 01539 561692