Ready To Book Your Project?

Section 1: About you
Name*
Email
Phone
Mobile
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Nationality
Gender
- Male
- Female
Date of birth
Date Format: DD slash MM slash YYYY
Are you taking any regular medication?*
- Yes
- No
Do you have any special dietary requirements or allegies?*
- Yes
- No
Medical / Diet / Allergy information*
How did you hear about us?

Section 3: Your project
Project*
Which project would you like to do?
Destination*
Where would you like to go?
Start date*
Date Format: DD slash MM slash YYYY

You can change this within reason if not sure of exact dates yet
Duration*
How many weeks would you like to participate?
Are you combining projects?
- Yes
2nd Project
If combining placements, please tell us your second project
2nd Destination
If combining destinations, please tell us your second location
Start date
Date Format: DD slash MM slash YYYY
Duration
Voucher Code

Section 4: Your deposit
To reserve your place on the project please send us a deposit of £195.
This deposit guarantees your place and is fully refunded in the unlikely event that we cannot offer you a placement.

Please indicate how you would prefer to pay your deposit.
Deposit
Payment method
- Cheque (made payable to Global Medical Projects and send to our address)
- Credit / debit card
- Bank transfer
If you wish to pay by internet banking or bank transfer our details are:

Payee: Global Volunteer Projects

Bank name: Barclays Bank

Bank address: Newcastle Haymarket branch, Haymarket, Northumberland Street, Newcastle-upon-Tyne NE1 7BH

Account no: 40079472
Sort code: 20-59-76

IBAN: GB74 BUKB 2059 7640 0794 72
SWIFTBIC: BUKBGB22

Please make Cheques payable to ‘Global Volunteer Projects’ and send them to the address below.

You can also pay by credit or debit card. Please note that credit card transactions are subject to a 3 percent fee. Call us on 0191 222 0404.
I confirm that I have read and understood the Terms and Conditions and Refund and Cancelation Policy. I also confirm that the information I have provided is correct.
You agree that the above statement is true.*
- Yes

Section 1: About you