Madventurer.com

Application Form

Please fill in as many details as possible below and if you are not sure about some of the details, fill in what you can and click on 'Apply Now' at the bottom of the page. We will ask you to complete the other parts later, for example, if you know you want to go on a project next summer but just can\'t yet decide which country to sign up too!

1. Personal Details

2. Contact Details

5. Medical Details

4. Other Details

TEFL brochures are provided by the course provider, ITC. If you do not wish Madventurer to pass your details to this company, please choose the No option.

3. Project/Adventure Details

Please fill in all sections where applicable.*Please fill in both the project and adventure sections if you want to do a 'Combo'

6. Payment

Reserve your place with a deposit for £150.

I will forward a cheque for:

  • Project deposit £150
  • Project full amount
  • Adventure deposit £150
  • Adventure full amount

Cheques should be made payable to 'Madventurer' post to:

Madventurer
Floor 2
1 Pink Lane
Newcastle upon Tyne
NE1 5DW

Please write your name and address on the back of the cheque.

Call with debit/credit card details on 0845 121 1996 or to set up a bank transfer.

Credit cards will incur a 3% fee, there are no charges for debit cards

7. Declaration

I confirm that the information that I have provided is correct. I have read and understood all the information on the madventurers.com website and the terms and conditions information sheet with regard to the application procedure, acceptance of risk, foreign office advice, and security and inconveniences that may arise in the developing world outside of the control of madventurer.

Madventurer will not pass your details on to any one else, but we may wish to contact you in the future with news of special offers, updates and newsletters. If you do not wish to receive any future correspondance please tick this box.