SAFARICOM MARATHON 2012

SAFARICOM MARATHON 2012SPECTATOR ENTRY FORMDetails:SpectatorName of Runner / Team SupportingPersonal Details:Title First Name Family NameAddressMobile NoNationalityEmailHome/Work TelOccupationMale Female Date of Birth (dd/mm/yy) Age on Race DayAccommodation Booking: (please indicate choice / number nights / travel dates)Self Catering Campsite Arrival Date No. AdultsQuiet Self Catering Campsite Departure Date No. Children 5 - 12 yrsSafaricom Village Number nights No.Children 0 - 4 yrsMaridadi CampNB: Two nights minimum stay inSafaricom Village & Maridadi CampsiteFor MARIDADI CAMP and SAFARICOM VILLAGE bookings please contact Location Africa Ltd.Tel: 0724 926 571 or Email: reservations@locationafricasafaris.com.For Self Catering Campsite bookings please complete the form below.If your team is proposing to use a independent camp operator you MUST inform marathon@lewa.orgLewa will be open to runners and spectators from Friday 29 th June to Sunday 1 st JulyPasta / Nyama Choma Party: (For Self Catering Campsite ONLY. Meal inclusive at Safaricom Village & Maridadi Campsite)Please give number of people who wish at attend the Pasta Party on the night of Friday 29 th JuneNumber AdultsNumber Children Aged 5 - 12 yrsPayment Details: Please indicate number people and total amount paid No. Pax TOTAL PAIDSelf Catering Campsite - ADULT Ksh 3,000 per person per night (including camp staff)Self Catering Campsite - CHILD (5-12yrs) Ksh 1,500 per person per nightPasta/Nyama Choma Party - ADULT Ksh 750 per personPasta/Nyama Choma Party - CHILD Ksh 375 per personDue to high bank charges please add KSH 200 if paying by non Nairobi or Nanyuki chequesTOTALPayment by Cash or Cheque only. Please make cheques payable to ‘Lewa Wildlife Conservancy Marathon a/c’Names of runners / spectators included in paymentYour application can only be accepted if you sign and date a disclaimer formPlease return your forms to:Safaricom Marathon, Kisima Ltd: Unit Kilo, Wilson Business Park, Wilson Airport, Nairobior Safaricom Marathon, c/o Kisima Ltd, PO Box 20139, 00200, NairobiTel: 0724 555 277 Email: marathon@lewa.org Web: www.safaricom.co.ke/safaricommarathon