AUSTRALIAN OUTBACK MARATHON 2011 TOUR REGISTRATION  FORM


PLEASE FILL OUT AND SEND WITH $500 DEPOSIT TO SECURE SPOT.

Please Print: Legal Name

Name_____________________________________________________
(first) mi (last)

Sharing with_______________________ Need Room Mate _________

Address: _____________________________________________________


Day Phone (area code/number)_____________Evening Phone ___________  Cell Phone ______

E-mail:______________________________________________________

Date of Birth ________

T-shirt size_______

Nationality  ______

Emergency Contact Name _________    Emergency Contact No. ___________

Marathon _____    Half-Marathon _______   10K ______   5K _______   Spectator  _____

Select Packages

Itinerary 1 _________    Itinerary 2 ________    Itinerary 3 ________  Itiner

Accommodation:  Sails in the Desert ______ Spa Room ___ Sails in Desert Deluxe Room ____

 Desert Gardens Hotel Standard_____ Desert Gardens Hotel Deluxe _____

Outback Pioneer Hotel and Lodge Standard____  
Outback Pioneer Hotel Budget ______

Bed Configuration__________

Optional Kings Canyon Tour $149.00 _________
 

Special Dietary Requirements _______

Share Details with other runners yes _____   No _____

First Time Marathoner Yes______    NO______

Personal Best or estimated time ____

Additional Information/Requests __________

Do you Have a Story to Share?

Need Pre or Post Tour Package _____  
If yes, please Explain

NEED AIRFARE ________________
US Departure City and Date_______ US Return City and Date_______

Flight Details if already booked

Minimum  Deposit Due : $500.00

Please mail registration form or fax or email to
Amazing Running Tours
9841 Villa Pacific Drive
Huntington Beach, CA 92646
(714)963-5281 (800)707-0005
(714)963-3451 (fax)
info@amazingtravel.com

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