2012 Safaricom Marathon Tour Application Print this Form Mail this form with a $500 per person deposit by check to:
Marathon Tours, Inc. C-5 Shipway Place, Boston, MA 02129
___Lewa Race Package ___Masai Mara Extension
Masai Mara Options: ___Hot Air Ballooning ___Morning Game Walk
___ Kilimanjaro Climb ___ Gorilla Trekking in Rwanda* June 21-24 ___ Gorilla Trekking in Rwanda July 5-8 *Additional $500 per person deposit due for booking including payment in full for all gorilla permits. ___ I am a member of the Seven Continents Club ___ This will be my 7th continent finish
Room type: ___Single Room ___King bed ___2 Twin beds
___Match me with another person in the hotels to avoid the single supplement (not guaranteed).
Flight Departure City ___________________________________
Passport Name _______________________________ Marathon___ Half-Marathon___ Supporter___
Passport Name _______________________________ Marathon___ Half-Marathon___ Supporter___
Address _____________________________________________
City __________________________ State/Prov ______ Postal Code _______
Country_____________________ Citizenship_______________/______________
Day Phone ______________ Evening Phone ______________ Email______________________
Date of Birth(s) ___________________/_____________________
Passport Numbers____________________/_____________________
Emergency contact name and phone________________________________________________
Special Requests _____________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
I have read and agree to the terms outlined under General Conditions.
Signature(s)___________________________________________ Date___________
For more information call Marathon Tours, 617-242-7845 or Email at info@marathontours.com | 
