2014, 2015 and 2016 Antarctica Marathon Tour ApplicationPRINT THIS FORM To reserve your space, please send a check for $300 per person to:
Marathon Tours, Inc. C-5 Shipway Place, Boston, MA 02129
Waitlist me for 2014___ Waitlist me for 2015___ Confirm me for 2016
Ship: Akademok Ioffe
Cabin Type: Main Deck Triple___ Twin Shared___ Twin Semi-Private___ Twin Private___
Superior___ Shackleton Suite___ One Ocean Suite___
Passport Name (first and last) __________________________________ Marathon__ 1/2 marathon__ supporter__
Passport Name (first and last) __________________________________ Marathon__ 1/2 marathon__ supporter__
Address __________________________________________________________________________
City ______________________ State/Prov _______ Postal Code ________________ Country_____________
Day Phone __________________ Evening Phone ___________________
Flight Departure Home City ______________ Email____________________________________________
Passport Number___________________ Country of issuance_____________ Date of Birth____________
Passport Number___________________ Country of issuance_____________ Date of Birth____________ Fastest marathon time within the past 2 years of this application__________________________
Emergency contact name and phone________________________________________________
OPTIONS:
Packages include group rates on Aerolineas Argentinas to Buenos Aires from Miami.
___ I do not need airfare on Aerolineas Argentinas. Deduct $500 from the package prices.
Single person room (hotel only)____ Match me in a room with another runner____
Special Requests __________________________________________________________________
I have read and agree to the terms outlined under General Conditions.
Signature(s)___________________________________________ Date _____________ | 
