|
Booking Request
Form |
|
|
|
|
|
|
(* = Required
Field) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Please book a Tandem Skydive over the
beach with the following Video and Photo options:
ï
Click here
for more information. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
What height would you like to pay
for: i.e.10,000, 12,000 or 14,000 feet |
|
|
|
|
|
|
|
|
* ï
Click
here for more
information. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Contact Name:* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Names of those jumping: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Is this a surprise? |
Yes |
No |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other relevant information: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Phone:* |
|
|
|
|
|
|
|
|
|
Mobile: |
|
|
|
|
|
|
|
|
|
Email: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
What Date,
Time
and Number
of people would you like to book for? |
|
|
|
|
|
|
|
|
Date:* |
|
|
|
|
|
|
|
|
|
Time: |
|
|
|
|
|
|
|
|
|
Number:* |
|
|
|
ï |
Please
note: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Min Age:
14
years |
|
|
|
|
Please note that this Date
and Time is an indication of preference only. Due to such factors as
weather conditions and prior bookings, we cannot always guarantee that
this time will be available to you. We will contact you to confirm this
booking within 24 hours. |
|
|
|
|
Max Weight:
95kg |
|
|
|
|
|
|
Click
here
for more information. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
We offer a
pick-up service for those customers staying in most areas of
the |
|
|
|
|
|
|
|
|
Gold Coast - Will you need to be picked
up?* |
|
|
|
ï |
Conditions Apply |
|
|
|
|
|
|
|
|
|
|
|
|
|
Click
here for more
information |
|
|
|
If answering 'Yes' to the above question, what will be your pick-up
address? |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Terms &
Conditions of Bookings |
|
|
|
|
|
|
* |
|
ï |
Terms &
Conditions |
| |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
| |
*To submit this form, please enter the characters you see in the image:
|
|
 |
|
|
|
|
|
| |
|
|
|
|
|
|