Travel Agency Registration Form

Travel Agency Information

Agency Name:*

Agency IATA Number:*

Agency Address:*

Agency City:*

Agency State/Province:*

Agency Zip/Postal Code:*

Agency Country:*

Agency General Phone:*

Agency General Fax:

Agency General Email Address:*

Agent Title: Mr/Mrs/Ms.*

Agent Last Name:*

Agent First Name:*

Agent Direct Phone:

Agent Fax:

Agent Direct E-mail:*

Additional Information:

* required fields

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