VHF Radio Licence Assessment Request

Request VHF Radio Licence Assessment Date

Your Name:*

Your E-Mail:*

Telephone No:*

Mobile Strongly Advised

Online Course Pass Certificate Number(s):*

Total Number of Candidates Requested

Please Choose a Date/Time (Fri, Sun, 1630hrs+)*

DayMonthYearHourMinutes

PREFERRED TIMES ARE 1645HRS ON FRIDAYS AND 1600HRS ON SUNDAYS.

Is this VHF Assessment to co-incide with another ScotSail Booking?

YesNo

Co-Inciding Booking Reference / Date:

Or Enter Course / Event Date