* ALL fields marked * are required
* Course Required
Tandem - 1 person Tandem - 1 Person Gift Pack Tandem - 2 persons Tandem - 3 persons Tandem - 4 persons Tandem - 5 persons
* PLEASE SELECT!:
Please Select Tandem - 1 person deposit only Tandem - 1 person deposit only With Camera Tandem - 1 person Gift Pack deposit only Tandem - 1 person Gift Pack deposit only with camera Tandem - 1 person Gift Pack Full Payment Tandem - 1 person Gift Pack Full Payment with camera Tandem - 2 persons deposit only Tandem - 3 persons deposit only Tandem - 4 persons deposit only Tandem - 5 persons deposit only Tandem - 1 person Full Payment Tandem - 1 person Full Payment with Camera Tandem - 2 persons Full Payment Tandem - 3 persons Full Payment Tandem - 4 persons Full Payment Tandem - 5 persons Full Payment
*Purchasers Name
+If purchasing a gift voucher you must enter a jumper name and address further down this form
+ please insert delivery address
* Country
Belgium Belize Bolivia Bosnia and Herzegovina Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Kuwait Kyrgystan Lao Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia (FYR) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Neutral Zone New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands United States of America Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
* Postcode
* Telephone
* e-mail
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)
10.0 St/64Kg or under 10.5 St/67K 11.0 St/70Kg 11.5 St/73Kg 12.0 St/76Kg 12.5St/79.5Kg 13.0 St/83Kg 13.5 St/86Kg 14.0 St/89Kg 14.5 St/92Kg 15.0 St/95.25Kg
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 "London Parachute School", All card transactions will incur a 3.5% surcharge, Refunds will be given at the discretion of the Company management.