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PushPin Adventures

Egyptian Tour

Oct 17, 2022 to Oct 25, 2022

Gate 1 Tour

<form-template>
	<fields>
		<field type="header" subtype="h2" label="Primary Guest's Passport Info"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="text" required="true" label="First name&amp;nbsp;" name="first-name" subtype="text" className="form-control"/>
		<field type="text" label="Middle name (if it's on passport)" name="middle-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/>
		<field type="text" required="true" label="Passport number" name="passport-number" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
		<field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>
		<field type="radio-group" required="true" label="Gender" name="gender">
			<option label="F" value="female">F</option>
			<option label="M" value="male">M</option>
			<option label="X" value="other">X</option>
		</field>
		<field type="header" subtype="h3" label="Secondary Guest's Passport Information"/>
		<field type="text" label="First, Middle and Last name (as it appears on the passport)&amp;nbsp; &amp;amp; GENDER" name="traveler-3-full-name-birthday-gender" subtype="text" className="form-control"/>
		<field type="date" label="Date of Birth" name="date-of-birth" className="form-control"/>
		<field type="text" label="Passport Number" name="passport-number2" subtype="text" className="form-control"/>
		<field type="text" label="Country of Issue" name="country-of-issue" subtype="text" className="form-control"/>
		<field type="date" label="Date of Issue" name="date-of-issue" className="form-control"/>
		<field type="date" label="Date of Expiration" name="date-of-expiration" className="form-control"/>
		<field type="header" subtype="h3" label="Options"/>
		<field type="checkbox-group" label="Select optional excursions to add to your package" name="select-optional-excursions-to-add-to-your-package">
			<option label="October 19 &#x2013; Half Day Egyptian Museum with Lunch (approx $65pp)1" value="october-19-half-day-egyptian-museum-with-lunch-approx-65pp1">October 19 &#x2013; Half Day Egyptian Museum with Lunch (approx $65pp)1</option>
			<option label="October 20 &#x2013; Aswan Feluca Ride (approx $19pp)" value="october-20-aswan-feluca-ride-approx-19pp">October 20 &#x2013; Aswan Feluca Ride (approx $19pp)</option>
			<option label="October 21 &#x2013; Abu Simbel by bus (approx $99pp)" value="october-21-abu-simbel-by-bus-approx-99pp">October 21 &#x2013; Abu Simbel by bus (approx $99pp)</option>
			<option label="October 23 &#x2013; Excursion to West Bank (approx $56pp)" value="october-23-excursion-to-west-bank-approx-56pp">October 23 &#x2013; Excursion to West Bank (approx $56pp)</option>
			<option label="October 24 &#x2013; Coptic Cairo with Lunch ( approx $65pp)" value="october-24-coptic-cairo-with-lunch-approx-65pp">October 24 &#x2013; Coptic Cairo with Lunch ( approx $65pp)</option>
			<option label="Travel protection - approx $209pp" value="travel-protection-approx-209pp">Travel protection - approx $209pp</option>
		</field>
		<field type="textarea" label="Do you have any medical conditions we need to be aware of?" name="medical-conditions" className="form-control"/>
	</fields>
</form-template>