Medoc Trip Application

 

2013 Medoc Booking Form

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

____Standard Package

Passport Name _________________________________ Entry? Yes___ No___
Passport Name _________________________________ Entry? Yes___ No___
Address ____________________________________________
City __________________________ State/Prov ______ Zip _______
Day Phone _____________ Evening Phone _____________ Departure City _______________
Email ______________________
Date of Birth(s) ________________________________________
Emergency contact name and phone________________________________________________
Room type: ___twin beds ___double bed ___triple
___Single Room          ___Match me in a room with another runner. (not guaranteed)
Special Dietary requirements __________________________________________


Special Requests ____________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

I have read and agree to the terms outlined under General Conditions.
Signature(s)___________________________________________ Date________________