2009 Gold Coast Marathon Tour Application Print This Form 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? Full__ 1/2__ 10K__ 7.5K walk__ None__ Sharing with P/P Name________________________ Entry? Full__ 1/2__ 10K__ 7.5K walk__ None__ Address ___________________________________________________ City __________________________ State ______ Zip __________ Day Phone __________________ Evening Phone __________________________ Home Airport ____________________ Email______________________________ Date of Birth(s) _____________________/___________________ Passport Number(s)___________________________/__________________________ Emergency contact name and phone________________________________________________ ___Single Room (1 person) ___Double Room (1 bed) ___Twin bedded Room (2 beds) ___Match me in a room with another runner. Optional Bridge Climb ($275) - Yes___ No___
Special Requests ______________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
I have read and agree to the terms outlined under General Conditions. Signature(s)________________________________/___________________________________ |