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Make Booking in aid of Harlington Hospice - Tandem Sky Dive (South Cerney Airfield)
How Many Jumpers?
1
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Purchaser Title
Please Select ...
Dr
Master
Miss
Mr
Mrs
Sir
Purchaser First Name
Purchaser Last Name
PostCode - enter with a space i.e. OX10 6AS
Purchaser Address 1
Purchaser Address 2
Town
Purchaser County
Purchaser Country
Please Select ...
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (the Democratic Republic of)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands [Malvinas]
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
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India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (the Republic of)
Kuwait
Kyrgyzstan
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (the Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands (the)
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan (Province of China)
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands (the)
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Purchaser Mobile
Purchaser Email
Tick if the details of the Purchaser and the Jumper are the same.
This Location Is Closed On: Monday, Tuesday, Wednesday, Thursday, Friday.
Preferred Jump Date 1
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September 2023
Mon
Tue
Wed
Thu
Fri
Sat
Sun
35
28
29
30
31
1
2
3
36
4
5
6
7
8
9
10
37
11
12
13
14
15
16
17
38
18
19
20
21
22
23
24
39
25
26
27
28
29
30
1
40
2
3
4
5
6
7
8
Today
Clear
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
OK
Cancel
Preferred Jump Date 2
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September 2023
Mon
Tue
Wed
Thu
Fri
Sat
Sun
35
28
29
30
31
1
2
3
36
4
5
6
7
8
9
10
37
11
12
13
14
15
16
17
38
18
19
20
21
22
23
24
39
25
26
27
28
29
30
1
40
2
3
4
5
6
7
8
Today
Clear
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
OK
Cancel
Preferred Jump Date 3
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September 2023
Mon
Tue
Wed
Thu
Fri
Sat
Sun
35
28
29
30
31
1
2
3
36
4
5
6
7
8
9
10
37
11
12
13
14
15
16
17
38
18
19
20
21
22
23
24
39
25
26
27
28
29
30
1
40
2
3
4
5
6
7
8
Today
Clear
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
OK
Cancel
Jumper Date Of Birth
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September 2023
Mon
Tue
Wed
Thu
Fri
Sat
Sun
35
28
29
30
31
1
2
3
36
4
5
6
7
8
9
10
37
11
12
13
14
15
16
17
38
18
19
20
21
22
23
24
39
25
26
27
28
29
30
1
40
2
3
4
5
6
7
8
Today
Clear
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
OK
Cancel
Jumper Gender
Please Select ...
Male
Female
Undisclosed
Unit Of Measure
Metric
Imperial
Jumper Height (Metres)
Jumper Approx. Weight
Please Select ...
7 St / 45 KG
7.25St/46Kg
7.5 St / 47.6 KG
7.75St/49.2Kg
8.0 St / 50KG
8.25St/52.4Kg
8.5 St / 54KG
8.75St/55.5Kg
9 St / 57.1KG
9.25St / 58.7KG
9.5St / 60.3KG
9.75St / 61.9KG
10.0 St / 64 KG
10.25 St / 65.1 KG
10.5 St / 67 KG
10.75 St / 68.26 KG
11.0 St / 70 KG
11.25 St / 71.44 KG
11.5 St / 73 KG
11.75 St / 74.62 KG
12.0 St / 76 KG
12.25 St / 77.79 KG
12.5 St / 79.5 KG
12.75 St / 80.96 KG
13.0 St / 83 KG
13.25 St / 84.14 KG
13.5 St / 86 KG
13.75 St / 87.32 KG
14.0 St / 89 KG
14.25 St / 90.49 KG
14.5 St / 92 KG
14.75 St / 93.67 KG
15.0 St / 95.25 KG
15.5 St / 98.63 KG
Jumper T Shirt Size
Please Select ...
XS
S
M
L
XL
XXL
I consent to Skydive Centre Ltd sharing my data protection preferences and personal details with Harlington Hospice and the specified Jump Location South Cerney Airfield.
Please tick below if you would like to hear more from your chosen charity about their work in the future:
Contact By Post
Contact By Email
Contact By Phone
Contact By SMS
Why have you decided to fundraise for this charity?
How did you hear about doing this activity for this charity?
Recommended Add-Ons For This Jumper
The following Add-Ons can be selected for this Jump Type:
Please Select ...
Skydive Centre Gift Pack - £ 29.99
Booking Cost
Total Deposit To Pay Now
(May include any Add-Ons i.e. Video and any Fuel Surcharge if applicable)
£ 50.00
Deposit Per Person
£ 50.00
Amount Per Person
£ 250.00
Total Add Ons
£ 0.00
Credit Card Surcharge
N/A
Fuel Surcharge (Per Person)
£ 30.00 *
Total Cost to be Paid
(The deposit amount shown above is only required now)
£ 280.00
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