July 13 - 23, 2019 Egypt Trip Registration Form

Tour to Egypt Registration Form

April 2023 Tour
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. In the case that I am submitting this Registration for both me and members of my family or others, I also acknowledge that we collectively have read the Waiver, Cancellation and Refund Policy in its entirety and voluntarily agree to be bound by their terms. *
I and if applicable the others on this Registration, am/are aware that the mandatory purchase of Travel Insurance is not included in the Registration Fee and is my/our responsibility. I/we understand that should an emergency arise while on the tour that my/our own funds and/or my/our Travel Insurance will be used and that Opening The Way 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 *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
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
I/we if applicable understand that smoking of any kind is not allowed on the tour. *
Type a question
If this Registration includes more than one person and these people "currently reside" with you kindly provide their a) Name, b) Date of Birth, c) Passport Number and for Adults Only d) Email Address in the spaces provided below.
Signature

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Payment Details
EARLY BIRD REGISTRATION PRICE

(First 25 People who Register by Paying Deposit)

$4200.00             PER PERSON DOUBLE OCCUPANCY

$2500.00             12 & Under CHILD RATE

$4950.00             SINGLE OCCUPANCY

TOUR PRICE

$4575.00             PER PERSON DOUBLE OCCUPANCY

$2750.00             CHILD RATE

$5325.00              SINGLE OCCUPANCY
I REQUIRE SINGLE SUPPLEMENT
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 *

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USD Deposit Amount $200 dollars per adult person and $100 per child 12 and under. (I understand that the deposit is non-refundable)
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Tour to Egypt Registration Form

Payment Details