Travel Agency Registration
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Name of Agency *
 

Legal Name of Agency *
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To apply for a new account, please fill all information boxes. You will hear from us within 2 business working days upon receipt of this application.
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Main Contact
Title *

First Name *
 
Last Name *
 
Email Address *
 
Title/Position *
  		Address 1 *
 
Address 2

Country *
 
City *
 
State/Province

Zip/Postal Code *
  		Website

Phone Number *
(Country Code - City Code - Number)
- -    
Mobile Number
(Country Code - City Code - Number)
- -
Fax Number *
(Country Code - City Code - Number)
- -    
Secondary Contact
Title

Email Address
First Name

Title/Position
Last Name

Address 1
Business Details
IATA Number

Years Of Operation

No Of Employees

Type of Company *
  		Licence Number

Business Type *

Others(Please specify)
  		Preferred Payment *
 
Trade Reg Certificate
 
Remarks
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