2013 Easter Island MarathonPrint This Form Mail this form with a $400 per person deposit by check to: Marathon Tours, Inc. C-5 Shipway Place, MA 02129 ___ Santiago & Easter Island Package with Air ___6-Night Easter Island Only ___ Santiago & Easter Island Package without Air to/from Santiago ___ Machu Picchu Extension (requires addtional $200 per person and payment in full for flights) 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 ___Match me in a room with another runner ___ Double Bed ___Twin Beds ___Bungalow Upgrade on Easter Island ___I am a member of the Seven Continents Club ___This is my 7th Continent Special Requests _________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ I have read and agree to the terms outlined under General Conditions. Signature(s)___________________________________________ For more information call Marathon Tours, 617-242-7845 or Email at info@marathontours.com **We highly recommend the Santiago and Easter Island package as it is the perfect amount of time to arrive in South America on time and to experience both Chile and Easter Island. There is much to explore. Please contact Kelly Allen with any questions you have regarding the different itineraries. |