July 13 - 23, 2019 Egypt Trip Registration Form

Tour to Egypt Registration Form

July 13-22, 2019
I have read the Waiver, Cancellation and Refund Policy information provided in the Registration Packet in its entirety. I understand what I have read and acknowledge that I submit this form voluntarily and with full knowledge of the significance of its terms. *
I am aware that the purchase of Travel Insurance is not included in the Registration Fee and is my responsibility. I understand that should an emergency arise while on the tour that my own funds and/or my Travel Insurance will be used and that Opening The Way Publishing and/or its agents (Lawrence Mathews)are not responsible for these costs. *
Name (as it appears on your passport) *

First Name , Middle Name Last Name

Address *

Phone Number *

- Area Code Phone Number
Emergency Phone Number *
Phone Number of Contact in case of Emergency (Include Area Code)
Passport Number *
Passport should expire no earlier than 01-28-20
E-mail *
Date of Birth
Gender *
Are you a vegetarian? *

Yes No
I understand that smoking of any kind is not allowed on the tour. *
T-Shirt Size

Medium Large Extra Large Double XX Large
Payment Details
$3695.00 PER PERSON DOUBLE OCCUPANCY (Option 1)

$3395.00 PER PERSON DOUBLE OCCUPANCY (Option 2)

$2395.00 CHILD RATE UNDER 12 YRS, SHARING ROOM W/2 ADULTS

$ 735.00 SINGLE OCCUPANCY
I REQUIRE SINGLE SUPPLEMENT OPTION 1 ($4430)
I REQUIRE SINGLE SUPPLEMENT OPTION 2 ($4130)
I REQUIRE A ROOMMATE *
I HAVE A ROOMMATE WHOSE NAME IS:
If referred, what is the name of the person who referred you? (Write "NA" if not applicable) *
Tour Deposit *

USD Deposit Amount $350 dollars (I understand that the deposit is non-refundable)
Should be Empty:

Tour to Egypt Registration Form