2011, 2012, 2013 and 2014 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 2011___ Waitlist me for 2012___ Waitlist me for 2013___ Confirm me for 2014___
Ship: Orlova
Cabin Type: Triple Main Deck___ Lower Deck Twin___ Main Deck Twin___
Captain's Deck___ Superior___ Admundsen Suite___
Passport Name (first and last) __________________________________ Marathon__ 1/2 mara__ supporter__
Passport Name (first and last) __________________________________ Marathon__ 1/2 mara__ 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____________
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 _____________ |
