|
|
Traveler One
|
Please print or type. It is important that
you use
your legal name as it appears on your passport. |
Traveler Two |
Please print or type. It is important that
you use
your legal name as it appears on your passport. |
|
Mr
Mrs
Miss
Ms |
Mr
Mrs
Miss
Ms |
| First Name |
_____________________________________ |
First Name |
_____________________________________ |
| Last Name |
_____________________________________ |
Last Name |
_____________________________________ |
| Address |
_____________________________________
_____________________________________
|
Address |
_____________________________________
_____________________________________
|
| City |
_____________________________________ |
City |
_____________________________________ |
| State, Zip |
_____________________________________ |
State, Zip |
_____________________________________ |
| Date of Birth |
(month/day/year) ______________________ |
Date of Birth |
(month/day/year) ______________________ |
Passport #
& country of issue |
_____________________________________ |
Passport #
& country of issue |
_____________________________________ |
| Phone:(day) |
_____________________________________ |
Phone:(day) |
_____________________________________ |
| Phone:(eve) |
_____________________________________ |
Phone:(eve) |
_____________________________________ |
| Fax: |
_____________________________________ |
Fax: |
_____________________________________ |
| Email: |
_____________________________________ |
Email: |
_____________________________________ |
| Emergency Contact Person |
_____________________________________ |
Emergency Contact Person |
_____________________________________ |
| Phone:(contact person) |
_____________________________________ |
Phone:(contact person) |
_____________________________________ |
| I will run: the Marathon
the 10k
Not run
|
I will run: the Marathon
the 10k
Not run
|
PAYMENT
Package prices are per person, double occupancy. These prices do not include airfare.
For single bookings, please note that there is a single supplement charge.
Check here if you would like us to assign you a roommate if possible.
This is not guaranteed.
11 day package $2,595.00.00 Depart USA Nov 5, Arrive Nov.6, Depart Nov.
15, 2008
Single supplement charge $425.00
6 day package $1,695.00 Depart USA Nov 5, Arrive Nov. 6, Depart
Nov. 11, 2008
Single supplement charge $250.00
Full payment of $_______________ enclosed
$300 per person booking deposit enclosed (Balance due in our office 60 days prior to departure) |
Your personal check is very welcome. Please list the names of all persons for whom payment applies on the face of
your check. Make your check payable to: Apostolos Greek Tours Escrow Account. If your would prefer to pay by credit
card, please fill in the additional information below.
|
I/we have read completely and understand and accept all the terms and conditions as described in the "Traveler
Information and Conditions" section of this brochure. I/we are physically able to participate in the marathon.
|
_______________________________________________________________________________________
Signature Date
_______________________________________________________________________________________
Signature Date |
I authorize you to charge my $300 per person deposit or my full payment of $__________________________ |
|
to my
MasterCard
VISA Expiration date:
___________________ Account #
_____________________________________
|
_________________________________________________________________________________________________________
Print Cardholders Name Authorization Signature
|
2685 S. Dayton Way #14 Denver, CO 80231 Office: (303) 755-2888 Fax: (303) 755-4888 |