M/S Philae Agent Reservation Form

5 Day/ 4 Night Luxor to Aswan
* Required Fields

Travel Agent Information

* Agent's Name:

 

* Agency Name:

 

* Mailing Address:

 

* City:

 

* State:

 

* Zip Code:

 
* Country:  

* Phone:

   

* Email:

   

Industry I.D. #:

   
 
Client / Tour Information
  SEX:  

* Traveler's Names:

 1. * Male Female  

(as they appear in their passports) 

 2. Male Female  
3. Male Female  
4. Male Female  
5. Male Female  
6. Male Female  
7. Male Female  
8. Male Female  
           

* Traveler's Telephone:
(needed for the airlines) 

      
           
* Select tour departure date: 
      
     
* Number of cabins:   
     
* Cabin 1:  # of people:     one     two  
  Smoking     Nonsmoking  
  Cabin Type:    king bed     twin beds  
     
Cabin 2:  # of people:     one     two  
  Smoking     Nonsmoking  
  Cabin Type:    king bed     twin beds  
     
Cabin 3:  # of people:     one     two  
  Smoking     Nonsmoking  
  Cabin Type:    king bed     twin beds  
     
Cabin 4:  # of people:     one     two  
  Smoking     Nonsmoking  
  Cabin Type:    king bed     twin beds  
             
Extensions:  Abu Simbel