NEW ZEALAND RUNNING TOUR PACKAGE 2012  BOOKING 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 ___________

E-mail:______________________________________________________

Date of Birth ________

Male____      Female________

Passport No__________________.  Expiration date ________

Nationality _________

t-shirt size_____

Emergency contact  Name _____________   Phone no. ________________

Trail Running Fitness Level  

Occasionally up to 1 hour _________      Average (1-3 times per week 1-2 hours) _________    Good (2-4 times per week 2 + hours) _______________

Excellent (Regularly up to 4-5 hours comfortably)

Dietary Requirements ____________________________________________________________________

Medical Conditions______________________________________________________________________

Medication Taken on a Regular Basis _________________________________________________________

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

 

Minimum Deposit Due : $500.00

Travel Protection Insurance is Strongly Recommended

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

Send  $500 check made payable to Absolutely Amazing Travel with registration form

Credit Card Processing Fee 3%

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