CONTACT

i want to sign up

i want to make a gift

COORDINATES

Address

14220 Esson, FRANCE

Mail

duke.acrobatie@gmail.com

Phone

06 60 04 13 04

Follow us !

REGISTRATION

Please complete this form to register. We will send you an order form to sign and the amount to pay to validate your registration.

LAST NAME *

First Name *

Age *

Phone number *0 / 20

E-mail *

Chosen activity *

Schedule *Matin (10h - 12h)Après-midi (14h - 16h)Journée

Schedule *Après-midi (14h - 16h30)

Rent *Motorcycle + equipementMotorcycle onlyEquipement onlyNo rent

Height of the pilote (in cm) *

Year and model of your motorcycle *

N° of licence *0 / 15

Assurance

N° of assurance

Ideal date 1 *

Ideal date 2

Ideal date 3

Have you got a gift voucher ? *OuiNon

Number of the voucher *

Have you already come ? *OuiNon

How did you know us ? *

Web SiteSocial MediasLeboncoin adFlyerMagazinePoster / Roll-Up motorcycle dealershipSport DécouverteSponsored post on Facebook and InstagramOtherNormandie Tourisme

How ? *

Level of the pilot *Has never ridden a motorcycleBeginnerBeginner +IntermediateAdvancedExpert

Particular observation

GIFT VOUCHER

To offer a gift voucher to a loved one, please complete the form below. The amount chosen must be paid in full before the gift voucher is sent. Several forms of gift vouchers are available:

– An amount that you choose (the person receiving the gift voucher will then have to register by stipulating that he/she has a voucher, he/she will also be able to add to it if the amount of the gift voucher is not enough)

– A voucher for one or more activities, the amount must be paid in full before the voucher is sent. The person receiving the gift voucher will then have to register by stating that they have a voucher.

You will receive a personalised gift voucher with the chosen activity or amount, which you can then complete directly for the person you wish to offer it to.

From *

For *

Phone number *0 / 20

E-mail *

Chosen activity or value of the voucher

Session1 session (morning or afternoon)2 sessions - whole day (morning and afternoon)

Value of the voucher (in €) *

Include rent *Moto + équipementMoto seulementÉquipement seulementPas de location

Age of the pilot *

Height (in cm) *

Particular observation