Home Registration "*" indicates required fields Step 1 of 6 16% Will you be attending the Triple Diamond Gala in Mexico?* Yes No Enter your name as it appears on your passport.Prefix*Mr.Mrs.Dr.MissMs.Prof.Rev.Legal First Name* Legal Middle Name Legal Last Name* Job Title* Dealership Name*ABITIBI MITSUBISHIACTION MITSUBISHIAJAX MITSUBISHIAPPLEWOOD MITSUBISHIBANK STREET MITSUBISHIBARRIE MITSUBISHIBAYWEST MITSUBISHIBEAUCE MITSUBISHIBELLEVILLE MITSUBISHIBLAINVILLE MITSUBISHIBOUCHERVILLE MITSUBISHIBOW MITSUBISHIBRAMPTON MITSUBISHIBROSSARD MITSUBISHICAMBRIDGE MITSUBISHICAPITAL MITSUBISHICHARLOTTETOWN MITSUBISHICHILLIWACK MITSUBISHICORNWALL MITSUBISHICOUPAL ET BRASSARD MITSUBISHICRANBROOK MITSUBISHIDILAWRI MITSUBISHIDIXIE MITSUBISHIDONNELLY MITSUBISHIDRUMMONDVILLE MITSUBISHIERIN MILLS MITSUBISHIFREDERICTON MITSUBISHIFRONTIER MITSUBISHIGASPESIE MITSUBISHIGIROUX MITSUBISHIGO LANGLEY MITSUBISHIGRANBY MITSUBISHIH GREGOIRE MITSUBISHIJD BOISCHATEL MITSUBISHIJEAN DUMAS MITSUBISHIJEAN DUMAS SAGUENAY MITSUBISHIJOHN SCOTTI MITSUBISHIJOLIETTE MITSUBISHIKINGS MITSUBISHIKROSS MITSUBISHIK-W MITSUBISHILETHBRIDGE MITSUBISHILOCH LOMOND MITSUBISHILONDON MITSUBISHIMAISON MITSUBISHIMETROTOWN MITSUBISHIMOTORCITY MITSUBISHIMOUNTAIN MITSUBISHINANAIMO MITSUBISHINEWMARKET MITSUBISHINORTH BAY MITSUBISHINORTH SHORE MITSUBISHINORTH SIDE MITSUBISHIOAKVILLE MITSUBISHIORLEANS MITSUBISHIPAQUET MITSUBISHIPARKER MITSUBISHIPEMBROKE MITSUBISHIPETERBOROUGH MITSUBISHIPLATINUM MITSUBISHIQUEBEC MITSUBISHIQUEENSWAY MITSUBISHIRALLYE MITSUBISHIRALLYE MOTORS MITSUBISHIRED DEER MITSUBISHIREPENTIGNY MITSUBISHIRIMOUSKI MITSUBISHIRIVIERE-DU-LOUP MITSUBISHIROUGE VALLEY MITSUBISHIROUYN-NORANDA MITSUBISHISAINT-JEROME MITSUBISHISASKATOON MITSUBISHISCARBOROUGH MITSUBISHISHERBROOKE MITSUBISHISOREL-TRACY MITSUBISHISTEELE MITSUBISHISTE-FOY MITSUBISHIST-EUSTACHE MITSUBISHIST-HYACINTHE MITSUBISHISUDBURY MITSUBISHISURREY MITSUBISHISYDNEY MITSUBISHITERREBONNE MITSUBISHITHUNDER BAY MITSUBISHITREVORS MITSUBISHITRICITY MITSUBISHITROIS-RIVIERES MITSUBISHITRURO MITSUBISHIVALLEY MITSUBISHI-CANVALLEYFIELD MITSUBISHIVANCOUVER MITSUBISHIVICKAR MITSUBISHIVICTORIA MITSUBISHIVICTORIAVILLE MITSUBISHIWAVERLEY MITSUBISHIWEST SIDE MITSUBISHIMMSCANMobile Phone*Email* Date of Birth* Month Day Year Passport Status* Valid in 2024 Expired Valid Passport* I agree that I have read and understood the information below.A valid passport is required for entry into Mexico and the expiry date on the passport must be valid for at least 6 (six) months from the date of departure. The name on your reservation & airline ticket must match the name on your government-issued photo ID. Your flight itinerary will be emailed to you for your approval prior to ticketing. Flights cannot be guaranteed until Atmosphere Concierge receives your approval. Your airline tickets are non-transferable and 100% non-refundable. Note: Should you require any airline changes or re-routing for personal reasons, you will be responsible for the costs incurred.Passport DetailsPassport No.* Country of Passport Issuance* City of Passport Issuance* Passport Expiry Date* Month Day Year Place of Birth* My Name Badge should read: First Name* My Name Badge should read: Last Name* Emergency Contact Name* Emergency Contact Relationship* Emergency Contact Phone No.*Dietary / Health RestrictionsI will be registering a Travel Companion* Yes No Travel Companion DetailsPrefix*Mr.Mrs.Dr.MissMs.Prof.Rev.Legal First Name* Legal Middle Name Legal Last Name* Mobile*Email* Date of Birth* Month Day Year Travel Companion Passport Status* Valid in 2024 Expired Valid Passport* I agree that I have read and understood the information below.A valid passport is required for entry into Mexico and the expiry date on the passport must be valid for at least 6 (six) months from the date of departure. The name on your reservation & airline ticket must match the name on your government-issued photo ID. Your flight itinerary will be emailed to you for your approval prior to ticketing. Flights cannot be guaranteed until Atmosphere Concierge receives your approval. Your airline tickets are non-transferable and 100% non-refundable. Note: Should you require any airline changes or re-routing for personal reasons, you will be responsible for the costs incurred.Travel Companion Passport DetailsPassport No.* Country of Passport Issuance* City of Passport Issuance* Passport Expiry Date* Month Day Year Place of Birth* My Name Badge should read: First Name* My Name Badge should read: Last Name* Emergency Contact Name* Emergency Contact Relationship* Emergency Contact Phone No.*Dietary / Health Restrictions Please write a short bio. This is a fantastic opportunity to share a bit about yourself, your career journey, and any insights or experiences contributing to your success. Here are some guidelines to help you get started: Length: Approximately 100-150 words. Content Suggestions: A brief introduction about yourself, Your career path and how long you’ve been with the company. Key factors or strategies that have contributed to your sales success. Any personal philosophies or motivational quotes that inspire you. A short, memorable anecdote or a significant milestone in your sales career. Personal Touch: Feel free to add any personal details you’re comfortable sharing, such as hobbies or interests that reflect your personality.Please input bio below.* To complement your biography, we request you upload a high-quality photograph of yourself.*Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.Please upload in .jpg, .jpeg, .png formats only. Travel / Hotel DetailsFlight Options* I will require flights on group dates: April 14-17 I will require flights outside group dates Rooms are booked at Secrets Akumal Rivera Maya checking in on April 14 and checking out on April 17. Any additional costs for travel and/or hotel will be at your own expense.Indicate preferred date of departure.* MM slash DD slash YYYY Indicate preferred date of return.* MM slash DD slash YYYY Closest Airport you wish to depart from* Driving Time to closest airport* Your Frequent Flyer #: Travel Companion Frequent Flyer #: Your Seating Preference* Window and Beside Aisle and Beside No Preference Travel Companion Seating Preference* Window and Beside Aisle and Beside No Preference Room Preference* One Bed Two Beds Hotel Special RequestsT4 Receipt* I acknowledge that I will receive a T4 for this trip.Insurance & Privacy Release* I agree to the Insurance & Privacy Policy.As each person’s needs differ and insurance coverage varies greatly, it is your responsibility to ensure that you have appropriate and sufficient coverage for all your travel needs. Your Privacy is important to us. Your personal information will only be used at Atmosphere Concierge, on a ""need-to-know"" basis. Atmosphere Concierge will not share your personal information with any third parties, unless: We have your express consent to share the information. We need to share this information to provide to you the services and products you have requested. You are giving Atmosphere Concierge permission to collect, use and retain your personal information for the purpose of registering for the trip. This information will only be retained by Atmosphere Concierge for as long as it is necessary to perform obligations in connection with this trip. Please also note that the information may be shared with Mitsubishi Motors Sales of Canada, Inc. as the owner of this event. Valid Passport* I agree that I have read and understood the information below.A valid passport is required for entry into Mexico and the expiry date on the passport must be valid for at least 6 (six) months from the date of departure. The name on your reservation & airline ticket must match the name on your government-issued photo ID. Your flight itinerary will be emailed to you for your approval prior to ticketing. Flights cannot be guaranteed until Atmosphere Concierge receives your approval. Your airline tickets are non-transferable and 100% non-refundable. Note: Should you require any airline changes or re-routing for personal reasons, you will be responsible for the costs incurred.