Agency Registration Form

Mandatory fields (*) and must not be left blank.
Client Contact
*Agency Name:
*Address 1:
Address 2:
*Postcode:
*Town:
*Travel Contact:
*Telephone:
Mobile:
*Email (Reservations):
Email (Accounts):
All itineraries/E-tickets will be sent to this address
All invoices will be sent to this address
Client Details
Legal Status
Country of Incorporation
Date of Incorporation:
Incorporation Number:
*Company Director/s:
License / Associations:
ATOL Number
ABTA Number
IATA Number
Trade References
Reference 1
Client Name:
Address 1
Address 2:
Postcode:
Town:
Telephone:
Reference 2
Client Name:
Address 1
Address 2:
Postcode:
Town:
Telephone:
Declaration
Name:
Position:
For and on behalf of: