2013 Bermuda Marathon Trip ApplicationPrint this form Mail this form with a $100 per person deposit by check only to: Marathon Tours, Inc. C-5 Shipway Place, Boston, MA 02129 Arrival Date____ Departure Date____ Room Type: Moderate___ Fairmont___ Deluxe___ Signature ___ Bedding type: King___ Twin___ Triple___ ___Single Room ___Match me in a room with another runner. Flight Departure City _______________
Passport Name _________________________________ Date of birth _______ Sharing with____________________________________ Date of birth _______ Address _____________________________________________ City __________________________ State ______ Zip _______ Day Phone ___________ Evening Phone ___________ Email______________________ Emergency contact name and phone_______________________________________________ ___ I am a member of the Seven Continents Club Special Requests ______________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________
I have read and agree to the terms outlined under General Conditions Signature(s)___________________________________________ Date_________ |