Attendee

Important information regarding your trip and registration:

A valid passport is required for travel to Jamaica. Passport must be valid for 6 months post travel, earliest valid expiration date would be 8/22/19. The information on this registration form is needed to complete the registration process, and may be provided to the hotel, airlines and other vendors in order to make appropriate reservations. Airlines will deny boarding or charge a name change fee should the name on your airline reservation not exactly match your passport. Please be sure to double check your name on your passport, as well as, the expiration date to ensure you have a flawless travel experience. If you have any questions, please contact Mary Ellen Riedle at Summit Planners: 574.968.4301 | Email: meriedle@spmeetings.com

Trip Option (Please Select One)

Dealer Number

Personal Information

Please enter your legal names as shown on your drivers license/Photo ID. Should your names not match your photo ID exactly, you will be denied boarding.

Attendee First Name

Attendee Middle Name

Attendee Last Name

Attendee Badge Name

Date of Birth

Gender (M/F)

KTN (Known Traveler #)

**KTN (Known Traveler Number) is an optional pre-check number given by TSA. Apply online at https://www.tsa.gov/tsa-precheck/apply.

Guest Information

Only one room per registration, please. Additional fees apply for reservations with more than two guests and the maximum number of guests per room is 4.

Will you be bringing a guest?

Yes

No. of People In the Room

Contact Information

Trip packets will be shipped via FedEx to this address approximately three weeks prior to trip departure.

Mailing Address

City

State

Zip Code

Mobile Phone

Business Phone

Email Address

Preferred Method of Communication

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

Requests and Preferences

We attempt to fulfill all special requests and preferences, but they are subject to availability, not guaranteed, and could require extra payment.

Bedding Request

Double

King

Special Request

Preferred Departure City For Great Lakes 2019

If requesting a different city than those listed, please enter the requested city above. Summit Planners will reach out to you to present your options. All options for specific flights will be based on availabiliity.

Other Departure City

Traveling with other Guests

Yes

People Besides Family You Want to Travel With

Units of Corn Purchased

Units of Alfalfa Purchased

Units of Soybeans Purchased

Deposit Information-$200 Deposit is required to hold reservation

Trip Payment

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