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2023 Jayco Dealer Trip - Reservation Form



AHI Travel must receive this form by July 31, 2023. After your reservation has been processed, we will email you a secure link to a payment portal if you are adding extensions, additional guests or optional activities to your reservation. If you have any questions, please contact Heidi Kingery, the Jayco Passenger Service Representative, at hak@ahitravel.com or 877-318-5441.






Trip Participation
Trip participation*
Yes, I will participate in this trip.
No, I cannot participate in this trip. (Please complete the Dealership Information section even if you are not participating in the trip.)

Number of additional trips I would like to purchase. (See pricing section below.)
First Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
First Dealer/Passenger 1 Age Acknowledgment*
First Dealer/Passenger 1 Date of Birth*
I certify that I am 18 years of age or older
First Dealer/Passenger 1 Signature*
Second Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Second Dealer/Passenger 1 Date of Birth*
Third Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Third Dealer/Passenger 1 Date of Birth*
Fourth Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Fourth Dealer/Passenger 1 Date of Birth*
Fifth Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Fifth Dealer/Passenger 1 Date of Birth*
Sixth Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Sixth Dealer/Passenger 1 Date of Birth*
Seventh Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Seventh Dealer/Passenger 1 Date of Birth*
Eighth Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Eighth Dealer/Passenger 1 Date of Birth*
Ninth Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Ninth Dealer/Passenger 1 Date of Birth*
Tenth Dealer/Passenger 1 Name

First Name*

Middle Name

Last Name*
Tenth Dealer/Passenger 1 Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Dealership Information

Your name

Dealership name

Title or relationship to dealer

Dealership address

City

State/Province

ZIP/Postal code
Click here if you would like your final mailing with your travel mementos sent to this address.

Business phone number, including area code

Business email address
Passenger 1

Preferred name on badge

Street address (Final documents cannot be delivered to a P.O. Box)

City

State/Province

Zip/Postal code

Home phone

Cell phone (Important on departure day if changes arise)

Preferred email address for communication and e-tickets

Date of birth (mm/dd/yyyy)
Gender*
Male
Female
Preferred bed type (not guaranteed)*
One bed
Two beds
No preference

Special medical, physical or dietary limitations

Airline and Frequent-Flyer Account #

Trusted Traveler/Known Traveler/Global Entry #
Passport Information:

Country of citizenship

Passport #

Birthplace

Date of issue

Expiration date (Passports must be valid for six months beyond your date of return.)

Issuing authority/Place of issue
Passenger 2

Title

First name

Middle name

Last name

Preferred name on badge
Address same as passenger 1

Street address (Final documents cannot be delivered to a P.O. Box)

City

State/Province

ZIP/Postal code

Home phone

Cell phone (Important on departure day if changes arise)

Preferred email address for communication and e-tickets

Date of birth (mm/dd/yyyy)
Gender*
Male
Female

Special medical, physical or dietary limitations

Airline and Frequent-Flyer Account #

Trusted Traveler/Known Traveler/Global Entry #
Passport Information:

Country of citizenship

Passport #

Birthplace

Date of issue

Expiration date (Passports must be valid for six months beyond your date of return.)

Issuing authority/Place of issue
Air Arrangements

Round-trip economy airfare to Naples International Airport and transfers to Sorrento, Italy, are included. There is no air credit for unused flights.

Please contact me with options and prices for upgrading my flights to economy comfort (between approximately USD 100-250 per person), premium economy (approximately USD 1,900 per person) or business class (approximately USD 4,100 per person). Availability depends on routing, airline, current published rates and fuel surcharges.
I am providing my own transportation to Naples, Italy and decline the included flights.
Please book my economy flights from my home airport:

My home airport:
Additional Guests, Main Program, October 17-24, 2023

All travelers must complete full passenger details. Please indicate the number of additional guests below. Please submit a second form with their details if not already entered above.

Double occupancy @ USD 4,950 per person

Single occupancy @ USD 6,245 per person

Triple occupancy USD 650 deduction for third person

A quad room is available for two adults and two children only.

Child, 0-3 - crib charge only

Child, 4-11 @ USD 995 per person

Child, 12-17 @ USD 2495 per person

Space is limited. Reservations will be filled on a first-come, first-served basis.

Please add the following to my reservation:


Number of double occupancy passengers

Number of single occupancy passengers

Number of triple occupancy passengers

Number of children 0 - 2

Number of children 3 - 5

Number of children 6 - 18

Space is limited. Reservations will be filled on a first-come, first-served basis.


Optional Activities

Naples - October 21, 2023

Please add the Naples excursion to my reservation at USD 195 per person.


Number of reservations for Naples.

Capri - October 22, 2023

Please add the Capri excursion to my reservation at USD 245 per person.


Number of reservations for Capri
Rome Pre-Program Optional Extension, October 14-18, 2023

Double occupancy @ USD 1,895 per person

Single occupancy @ USD 2,890 per person

Triple occupancy reservations USD 200 deduction for third person

Quad rooms are not available.

Child, 0-4 crib charge only (if applicable)

Child, 5-10 @ USD 495 per person

Child, 11-17 @ USD 1,295 per person

Please add the following to my reservation:


Number of double occupancy passengers

Number of single occupancy passengers

Number of triple occupancy passengers

Number of children 0 - 4

Number of children 5 - 10

Number of children 11 - 18

Space is limited. Reservations will be filled on a first-come, first-served basis. This extension is 100% nonrefundable.

Apulia Post-Program Optional Extension, October 24-27, 2023

Please add the following to my reservation:

Double occupancy @ USD 1,495 per person

Single occupancy @ USD 1,990 per person

Triple occupancy reservations - USD 265 deduction for third person

Quad rooms are not available.

Child, 0-3 crib charge only

Child, 4-10 @ USD 695 per person

Child, 11-17 @ USD 995 per person

Please add the following to my reservation:


Number of double occupancy passengers

Number of single occupancy passengers

Number of triple occupancy passengers

Number of children 0 - 4

Number of children 5 - 10

Number of children 11 - 18

Space is limited. Reservations will be filled on a first-come, first-served basis. This extension is 100% nonrefundable.

Exclusive Jayco Dealer Extension Credit

Exclusive Jayco dealers will receive up to a one-time $2,000 total credit toward the purchase of one or both extensions.

Emergency Contacts (Not travel companions)

Contact 1


Name

Relationship

Primary phone

Secondary phone

Email

Contact 2


Name

Relationship

Primary phone

Secondary phone

Email
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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