Kyocera Direct Operations Masters Club Antigua | Sandals Grande Antigua

Winner's Reservation Form

Kyocera Masters Club Trip 2023 - Antigua

Your adventure begins on change dates Sunday, January 8 returning home on Friday, January 13, 2023. The luxurious and all-inclusive Sandals Grande Antigua will be your home away from home.

IMPORTANT: This form must be completed by November 18, 2022.

Your legal names as they appear on your passport are required. Airline rules dictate that your name must match your passport in order to board. If you have any questions, please contact channelmarketing@da.kyocera.com.

I am traveling with my guest I am traveling alone

Winner's Registration
*Title	*First Name	Middle Name	*Last Name

Nickname for Badge	*Date of Birth (mm/dd/yyyy)
*Social Security Number	Passport Number
Passport Expiration Date	Passport Country of Issue
Citizenship	Alien Registration (if any)

Guest Registration
*Title	*First Name	Middle Name	*Last Name

Nickname for Badge	*Date of Birth (mm/dd/yyyy)
*Social Security Number	Passport Number
Passport Expiration Date	Passport Country of Issue
Citizenship	Alien Registration (if any)

Contact Information
*Street Address
*City	*State	*Zip Code

*At least one phone number is required.
Cell Phone (XXX)XXX-XXXX	Business Phone (XXX)XXX-XXXX	Home Phone (XXX)XXX-XXXX
*Email Address		Guest Cell Number

Dealership

Hotel Requests

All rooms are king bedded.

*Rooming Request

		I will share a room with my guest
		I will stay in a single room

Special Requests (To include food allergies or special dietary needs)

Airline Information
Departure Airport	Guest Departure Airport
Nearest Airport to your home:	Nearest Airport to guest's home:
Your Seat Selection	Guest's Seat Selection

Frequent Flyer Number	Guest Frequent Flyer Number
Airline Requests (if special need)
Doing Own Air	Doing Own Air

If You Would Like To Extend Your Trip Please complete your trip extension request by November 18, 2022. If you would like to extend your trip at Sandals Grande Antigua, please include your preferred itinerary. The rate is $970 per night in a Mediterranean Club Level Suite based on double occupancy and is all inclusive. The rate is valid from January 5 to 16, subject to availability. A Journeymaster fee of $75 is charged for all extensions.
Arrival Date	Ending Date
Winner's Name	Guest's Name
Telephone Number (XXX)XXX-XXXX
From (City)	To (City)
Special Requests

Payment Information
Credit Card Number	Card Type	Expiration Date
Mastercard Visa Discover American Express
I authorize you to charge my credit card

Emergency Contact
*Name	*Telephone

Additional Comments

Change and Cancellation Fee Information:

Air Itinerary
If you want to change your air itinerary and request flights other than the group flights, The Journeymasters will charge a $75 air itinerary investigation fee plus any additional airfares.

Changes
If you change your air ticket in any way after the ticket is printed, the airlines charge any additional airfare (if applicable) and may charge an airline change fee. We will charge a $75 Journeymaster service fee per person to reissue your tickets.

Cancellation
Important Note: Airline tickets are non-refundable once ticketed. You will be responsible for the full cost of the tickets. If you would like to travel at a future time, the ticket value is good for one year toward the purchase of a new ticket on the same airline, less any applicable airline penalty. If the airline reservations are not cancelled prior to travel, the ticket has no value.