2013 Ridelondon Marathon Trip ApplicationPRINT THIS FORM Fax, mail or email this form with credit card information for a $500 per rider deposit and $200 for non-riders to: Marathon Tours, Inc. C-5 Shipway Place, Boston, MA 02129. Fax 617-242-7686 email to: jen@marathontours.com
Hotel______________________ Arrival Date____ Departure Date____
Bedding Type: ___King ___Twin ___Single Room ___Match me in a room with another participant.
Flight Departure City _______________
Passport Name _________________________________ Race Entry? ___Yes ___No
Sharing with____________________________________ Race Entry? ___Yes ___No
Address _____________________________________________
City __________________________ State ______ Zip _______
Day Phone ______________________ Evening Phone _______________________
Email________________________________________________
Date of Birth(s) __________________/______________________
Emergency contact name and phone_______________________________________________
Card type___________ Card #________________________________ Exp. date__________ 3 digit security code___________ Visa or MasterCard only
Special Requests ___________________________________________________________________________________________
____________________________________________________________________________
I have read and agree to the terms outlined under General Conditions.
Signature(s)___________________________________________ Date_____________
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