2013 Rio de janeiro Marathon Trip ApplicationPRINT THIS FORM Mail this form with a $200 per person plus $45 per entry deposit by check to: Marathon Tours, Inc., C-5 Shipway Place, Boston, MA 02129. Fax 617-242-7686. Hotel Name _____________________________ Hotel arrival date_________ Hotel departure date________ Room type: Double___ Single___ Triple___ Bedding type: One Bed___ Two Beds___ Flight departure city ____________________ ____ Book me on the Post-Race Excursion to Iguassu Falls Passport name _________________________________Entry? Mara___Half___6K___None___ Passport name _________________________________Entry? Mara___Half___6K___None___ Address _____________________________________________ City ________________ State ____ Zip Code _________ E-mail______________ Day phone ______________ Evening phone ______________
Date(s) of Birth _______________/______________________ Passport #__________________/_______________________ Emergency contact name and phone_______________________________________________ ___Match me in a room with another runner.
Special requests ___________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ ___ I am interested in planning travel to other parts of Brazil after the Rio package. ___ I am a member of Seven Continents Club (www.sevencontinentsclub.com) I have read and agree to the terms outlined under Booking Conditions. Signature(s)___________________________________________ Date _________ |