Trip Application Trip Application Trip Departure Date * Month Day, Year Group Name (If applicable) Personal Information First Name * Last Name * Email * Date of Birth * Month Day, Year Gender * Male Female Address City State/Province Zip/Postal Code Country United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Cell Phone Number Country Code and Area Code if outside U.S. Work Phone Number Country Code and Area Code if outside U.S. Home Phone Number Country Code and Area Code if outside U.S. Your Local Time Zone Passport Information VACCINATIONS - In the U.S., it is best to check with the Center for Disease Control (CDC) when arranging your travel plans. Information can be found here. Non-U.S. citizens should check with the appropriate government health agency. PASSPORTS & VISAS - A passport and a visa are required to enter Egypt. The passport must be valid for at least 6 months from date of entry into Egypt. A visa can be purchased at the Egyptian airport for $25 USD. Non-U.S. citizens should check with the appropriate consulate regarding passports and visas. Passport Number * Passport Issue Date * Passport Expiration Date * Your passport must be valid for at least 6 months after the return date on this trip. Passport Issuing Country * Your passport must be valid for at least 6 months after the return date on this trip. Please upload a scan or image of the first two pages (left and right page as a single file) of your current and valid passport. Our website is housed on a secure server. Passport * Drop a file here or click to upload Choose File Maximum file size: 5MB International Airline Information Airline and Flight # * Arrival Date * Arrival Time Into Egypt * Departing Airline and Flight # * Departure Date * Departure Time From Egypt * Domestic Airline Information Airline and Flight # Arrival Date Arrival Time Departing Airline and Flight # Departure Date Departure Time Local Hotel Accommodations Pre-Trip Hotel Name Post-Trip Hotel Name Special Requests Vegetarian, vegan and gluten free are pretty easy to work with as well as allergies. Let us know if you require special meals. Please remember that you are participating in an adventure travel vacation that is occurring in a remote part of the world. Many of the modern conveniences, brands and pre-packaged goods we use at home are not available in remote destinations. As such, many special requests that are very specific are difficult to accommodate. Finally, if you are celebrating a birthday, anniversary, or other special life event please let us know. My/Our Special Request: Would you like to book a massage during your cruise? Yes No Travel Insurance We recommend purchasing travel insurance for your trip. In order to maintain our reasonable cost and high level of service, we do not automatically insure your trip against the adverse affects of weather or other factors beyond our control. Your holiday represents a significant investment, and unforeseen circumstances such as injury or sickness, airline issues, and family emergencies can easily affect your ability to travel. Will you have purchased travel insurance? Yes No Travel Insurance Company Insurance Policy Number In Case of Emergency First and Last Name Relationship Work Phone Number Country Code and Area Code if outside U.S. Home Phone Number Country Code and Area Code if outside U.S. Cell Phone Number Country Code and Area Code if outside U.S. Submit If you are human, leave this field blank.