M/S Moon Goddess Reservation Form
* Required Fields
   Terms 5 Day/ 4 Night Aswan to Luxor  

To reserve space on the Moon Goddess cruise please complete the following form
and e-mail it to us by clicking the "Please Confirm Space" button.
 

* SEX:

 

* Name (as it appears on passport):

Male Female

* Mailing Address:

   

* City:

   

* State:

   

* Zip Code:

   
* Country:    

* Telephone:

   

Time Zone:

   

Fax:

   

* E-mail:

   
 
  SEX:  

Additional Travelers' Names:

 2. Male Female  

(as they appear in their passports) 

 3. Male Female  
4. Male Female  
5. Male Female  
6. Male Female  
7. Male Female  
8. Male Female  
9. Male Female  
           
           
* Select cruise 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      
           
Extras: