2014 Rome Marathon Trip ApplicationPrint this Form Mail this form with a $200 per person deposit by check to: Marathon Tours, Inc. C-5 Shipway Place, Boston, MA 02129
Flight Departure City _________________ Hotel check-in Date____ Hotel check-out Date____ Hotel Name:__________________ Bedding type: ___Twin___ Queen___ Single___ Triple ___ Match me in a room with another runner (not guaranteed) ___ I am a member of the Seven Continents Club ___ This is my 7th Continent ___ Confirm me on the Florence Extension
Full Passport Name _________________________________ Birthdate _____
Entry? ___I need an entry through Marathon Tours ___I obtained an entry on my own ___Supporter Full Passport Name _________________________________ Birthdate _____ Entry? ___I need an entry through Marathon Tours ___I obtained an entry on my own ___Supporter Address _____________________________________________ City ________________ State ____ Zip ____ Email_______________________ Day Phone ______________ Evening Phone ______________ Emergency contact name and phone_______________________________________________ Special Requests _____________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
I have read and agree to the terms outlined under General Conditions. Signature(s)___________________________________________ Date___________ |