Rider Training Institute Rider Training Institute   
30 Duncan Street, Suite 302 Toronto, ON M6J 3T3
Fax: 416-516-6101
Full Legal Name: ___________________________________________________
Mailing Address: ___________________________________________________
  ___________________________________________________
E-mail Address: ___________________________________________________
Contact Number-Day: ___________________________________________________
Contact Number-Eve: ___________________________________________________
Date of Birth: (year/month/day) __ __ __ __ - __ __ - __ __
Please read the Policies page of our website for our payment, cancellation and rescheduling policies.
Course Requested:   Riding Basics _____       Basics-LSM _____      

Riding Strategies _____    Intermediate _____     Technical Skills _____  

Bundle 1 _____ (Basic + Intermediate or Technical)

Bundle 2 ____ (Strategies + Intermediate or Technical)

Date Requested: ______________________________________________________
Standby Date: ______________________________________________________
Note: if purchasing a course bundle, both courses must be completed within the same season.
Please list 2 dates for each course, note courses and select location for both too.
Location Requested:
Not all courses are offered at all locations

Please circle the course and location on the list to the right:

Riding Basics Course: Toronto, King City, North York, Mosport, Guelph, Oakville, St.Catharines, Orillia, Ottawa
Riding Basics LSM Course: Toronto, King City, North York, Guelph, Oakville, St. Catharines, Orillia, Ottawa
Riding Strategies Course: Toronto, Oakville, Newmarket, Guelph
Riding Strategies Course for LSM: Toronto
Intermediate Rider Course: Toronto, King City
Technical Rider Course: King City
Cost of the course: Riding Basics: $395 + tax
Basics LSM: $370 + tax (on your own 50cc scooter/moped)
Riding Strategies: $350 + tax
Intermediate Course: $195 + tax
Technical Course: $195 + tax
Bundle & Save!
Bundle 1 $520 + tax
Bundle 2 $480 + tax

Payment Method: Mastercard___  Visa___  Cash___  Money Order___ Certified Cheque___

All courses must be paid within 2 weeks of your course date or upon registration.
If you are paying by credit card, we will call you to take your payment over the telephone.
Payment options are Visa, Master Card,Money order, Certified cheque or cash.
Card Number: ___________________________________________________
Expiry Date: ___________________________________________________
How did you hear
about RTI?:		 ___________________________________________________
Please pay in person at our office if you wish to pay cash.
All registrations will be called within 72 hours of receipt to be confirmed. If you do not receive a call, please contact RTI at 416-516-6151 to confirm receipt of registration.


Mail: 30 Duncan Street, Suite 302, Toronto, Ontario, M5V 2C3 Fax: 416-516-6101