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Travel Agency Registration Form - Alaskatours.com

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:*



Travel Agent Information

Agent Title: Mr/Mrs/Ms.*


Agent Last Name:*

Agent First Name:*


Agent Direct Phone:

Agent Fax:


Agent Direct E-mail:*


Additional Information:


* required fields