Gift Booking Form

Please fill in your name and address - we will use this address to send your gift pack:

Title

Forename*

Middle Name

Surname*

Address 1*

Address 2

Address 3

Town*

County

Postcode*

Phone*

Mobile

Email*

Please supply a greeting message which we will print this on your gift certificate-

Here are some ideas:


	”Merry Christmas Charles from all at the firm”


	”Happy Birthday James from the office at Universal Exports”


	”Congratulations on your Wedding love from Clive and Natasha”


	”Congratulations on passing your driving test love from Mum and Dad”

Please enter your greeting message below:

Please give us the details of the person who will be making the tandem skydive - if there will be more than one person jumping please give their details in the further information area :

Course

Forename*

Surname*

Sex

Total In Group

Date Of Birth*

Height

Weight

Important: Max. Weight Limit for Men 15st & Max. Weight Limit for Women 13st

For a tandem jump, you have the option to select the time of day that you would prefer to jump - AM or PM. Because you are presenting the booking as a gift we appreciate that the date you require and the time of day may need to change. In this case, please give us as much notice as possible to make sure that we have places available on the day you require.
Remember only weekend & bank holiday dates are valid.


Preferred weekend course date (1st)

Preferred weekend course date (2nd)

How did you hear about us?


		Time of day

	Time of day


	Please use the space below to give us any further information that you feel is relevant: