Booking Form

 

2015, 2016, 2017 and 2018 Antarctica Marathon Tour Application

PRINT THIS FORM

 

To reserve your space, please send a check for $300 per person to:
Marathon Tours, Inc. 100 Everett Ave., Suite 2, Chelsea, MA 02150 
 

Waitlist closed for 2015___    Waitlist me for 2016___    Waitlist me for 2017____ Confirm me for 2018____


Ship: Akademok Ioffe
Cabin Type: Main Deck Triple___   Main Deck Twin ___   Semi-Private Twin___   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:
 

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 _____________