London Skydiving Registration    

* ALL fields marked * are required

* Course Required PLEASE SELECT COURSE

* PLEASE SELECT PAYMENT Deposit/Full

*Purchasers Name

+If purchasing a gift voucher you must enter a jumper name and address further down this form

+ please insert delivery address

* Country

* Postcode

* Telephone

* e-mail

*Location

Preferred dates (if voucher or gift pack please type voucher or gift pack)

*Jumper Name or Voucher Recipient (printed on voucher)

* Jumpers Address - (if known, if not enter own)

Jumpers Date of Birth (dd/mm/yy)

Jumpers Height (in feet and inches)

Jumpers Approximate Weight in stones)

*I confirm that i have read and accept the terms & conditions

For AFF Level 1 above 2 persons and orders above 5 persons please call or e-mail

All card transactions will be shown on your statement as "Skydive Centre Ltd", All card transactions will incur a 3.5% surcharge, Refunds will be given at the discretion of the Company management.