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Travel Agent Application Form

Travel Agent Account Details

Important Note: To apply for a Travel Agent account, you must be a registered travel agent. You must supply either an IATA number or your local Travel Agent licence number.

Note: the field in red are mandatory.

Company Name:
IATA number if applicable:
Travel Agent licence number if applicable:

Contact Name:
Contact Title:
Phone:
Fax:
e-mail:
Confirm e-mail:
Web site URL:

Street Address:
City:
State:
Postal Code:
Country:

Password:
Confirm Password:
Average Pax Number per Year:

VAT Code :

Main Specialisation Incoming to:	Europe Asia North America South America Australia Other:

Main Specialisation Outgoing from:	Europe Asia North America South America Australia Other:

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