Easter Island Marathon / Booking Form

2009 Easter Island Marathon

Mail this form with a $300 per person deposit by check to:
Marathon Tours, Inc. C-5 Shipway Place, Boston, MA 02129

Passport Name _____________________________________ Entry? Mara__ 1/2__ 10K__ No__ Tri__ Mtb__
Passport Name Sharing with___________________________ Entry? Mara__ 1/2__ 10K__ No__ Tri__ Mtb__
Address ____________________________________________________________________
City ____________________________ State ______ Zip _______ Citizenship______/_______ M/F__/__
Day Phone _________________________ Evening Phone ____________________________
Departure City ____________________Email_______________________________________
Date of Birth(s) _________________/___________________Age(s) day of race______/______
Passports number(s)____________________________/______________________________
Emergency contact name and phone_______________________________________________
*Need passport, Citizenship, contact, DOB and ages for all travellers, whether running or not*

___Single Occupancy Room or ___Match me in a room with another runner.
___ double bed or ___twin beds

Special Requests ______________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________

I have read and agree to the terms outlined under General Conditions.
Signature(s)___________________________________________
For more information call Marathon Tours, 800-444-4097 or Email at marathon@shore.net