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Contact Name *

The name of the person we can contact for this booking

First Name

Last Name

1st Preferred date of skydive *

If we have available slots for this day, we will email you the times available.

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DD

YYYY

2nd Preferred date of skydive

If your prefered date (above) isn't available, please let us know if there is another date you would be able to jump.

MM

DD

YYYY

Agreement Terms *

I understand that I will be required to pay a non-refundable deposit of $100 per person once my booking is confirmed in order to secure the slot, pilot, flight and instructors. Payment details will be sent to email upon confirmation. This deposit will go towards the cost of my skydive and the balance will be payable on the day of the skydive.

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