Please complete this form to apply for Cycle Palestine 2023 trip 1 (2nd-10th September 2023). After completing your details, your application will be registered and MAP will review applications to allocate places. If you are allocated a place you will be required to make a payment for £350.

Important note: Your place on the cycle is not reserved until you have been allocated a place by MAP and you have paid your £350 deposit. You will be asked for a £1 deposit upon completing the application, which will be held to verify your card details and then returned. We will not retain any payment until your application has been approved. Please note not all applications will be approved.

Additionally, if you do not feel comfortable entering your passport details at this stage, please feel free to fill these details in with blank numbers.

Please complete all sections and advise us immediately if any of the information changes once you have applied.

* denotes required fields

Personal Details

Please fill in your name exactly as it appears in your passport

Extra small
34" Chest
Small
36" Chest
Medium
38" Chest
Large
40" Chest
Extra Large
42" Chest
XX Large
44" Chest