Antarctica Marathon & Half-Marathon / Booking Form

2010 and 2011 Antarctica Marathon Tour Application

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 2010 ___ Confirm me for 2011___
You will automatically become confirmed for 2011 if you do not clear the waitlist for 2010.

Ship: Ioffe___       Vavilov___
Cabin Type: Main Deck Triple___   Main Deck Twin___   Upper Deck Twin___
                  Superior ___   Superior Plus___   Peregrine Suite___   Cook 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 from Miami on Aerolineas Argentinas to Buenos Aires.

___ I understand that trip insurance is mandatory at an extra cost that includes evacuation insurance coverage of a minimum of $50,000.

___ I do not need airfare on Aerolineas Argentinas. Deduct $500 from the package prices.

Single Person Room (hotel only)____ Match me in a hotel room with another runner____

Special Requests __________________________________________________________________
I have read and agree to the terms outlined under General Conditions
Signature(s)___________________________________________