KILIMANJARO MARATHON TOUR  2013  REGISTRATION


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 ________

t-shirt size_____

Special Dietary Needs _____

Select Packages

Kilimanjaro Marathon______   Kilimanjaro Marathon with climb ______      Safari _____________

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

Include Race Entry Marathon____ Half-Marathon_____ 10K_____ 5K____ Other____

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 Amazing Running Tours with registration form

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