2013 Big Five Marathon Trip Application Print this Form Mail this form with a $600 per person deposit by check to: Marathon Tours, Inc. C-5 Shipway Place, Boston, MA 02129
___ Lodge Name ___ 5 night Package ___ 7 night Package Room type: ___Single Room ___King bed ___2 Twin beds ___Match me with another person in the hotels to avoid the single supplement (not guaranteed). Flight Departure City ___________________________________
Passport Name _______________________________ Marathon___ Half-Marathon___ 10K___ Passport Name _______________________________ Marathon___ Half-Marathon___ 10K___ Address _____________________________________________ City __________________________ State/Prov ______ Postal Code _______ Country_____________________ Citizenship_______________/______________ Day Phone ______________ Evening Phone ______________ Email______________________ Date of Birth(s) ___________________/_____________________ Passport Numbers____________________/_____________________ Emergency contact name and phone________________________________________________
Special Requests _____________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ I have read and agree to the terms outlined under General Conditions. Signature(s)___________________________________________ Date___________ For more information call Marathon Tours, 617-242-7845 or Email at info@marathontours.com |