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Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

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		<field type="header" subtype="h2" label="Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Information"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
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			<option label="F" value="female">F</option>&#13;
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		<field type="header" subtype="h2" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
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		<field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
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		<field type="text" label="Dates of Travel" name="dates-of-travel" subtype="text" className="form-control"/>&#13;
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<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Information"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
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		<field type="header" subtype="h2" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="text" label="Dates of Travel" name="dates-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Allergies" name="allergies" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Terms and Agreement: I have read and accept the terms and agreement listed" name="terms-and-agreement-i-have-read-and-accept-the-terms-and-agreement-listed">&#13;
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Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

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Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

Category CA/CB —

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Total —

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Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

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Credit Card Authorization

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Final payment of $9,878.00 is due on July 1, 2026

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Secrets of Egypt of the Nile River January 2027

Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit Final payment of $9,878.00 is due on July 1, 2026

$0.00

Authorize full amount

$9,878.00

Secrets of Egypt of the Nile River January 2027

Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

Secrets of Egypt of the Nile River January 2027

Jan 18, 2027 to Jan 29, 2027

Authorize deposit

Final payment of $9,878.00 is due on July 1, 2026