Organisers Name:		Phone:
Email:

Gift Certificate Details		Voucher No. _______________ (office use only)

Receivers Name:
Personalised Message:
Weight:	kg	Passenger Age over 18:
Postal Attention To:
Postal Address:
Town:		Postcode:
Email:
Comments:

How Did You Hear About Us?		Other:
Why Did You Choose to Jump with Just Jump Skydive?

Payment Details
$335 12 month Tandem Gift Voucher Pre payment in full

Payment Method
Credit Card	please follow the prompts after clicking submit
Direct Deposit or EFT	National Australia Bank BSB: 082 574 Acct # 82 511 4627 Name: Just Jump Skydive
	Important: Payments by Direct bank deposit or EFT must indicate Organisers/Jumpers name as reference
Cheque or Money Order	Payable to Jones-Hope Holdings Pty Ltd PO Box 4009 East Gosford NSW 2250
	*note please print this and post a copy with your cheque

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*note when you click 'Send' you will automatically be transferred to the online payment gateway. Thank you.

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