2013 MADAGASCAR Marathon Tour ApplicationPRINT THIS FORM Mail this form with a $500 per person deposit by check to: Marathon Tours, Inc. C-5 Shipway Place, Boston, MA 02129
___ Madagascar Marathon Package in Isalo ___ Early arrival for Antasibe rain forest excursion ___ Post-race extension to Morandava
Room type: ___Single Room ___King bed ___2 Twin beds ___Match me with another person in the hotels to avoid the single supplement. Flight Departure City ___________________________________
Passport Name _______________________________ Marathon___ Half-Marathon___ Passport Name _______________________________ Marathon___ Half-Marathon___ 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)___________________________________________ For more information call Marathon Tours, 617-242-7845 or Email at info@marathontours.com |