Travel Agents

If you are a Travel Agent or Independent Contractor and wish to receive your own supply of brochures, videos or DVDs for your clients please complete and submit this form. General agency orders may also be requested on this form. Please note all * fields are required.

*Type of Order 
Travel Agent Personal Supply 
Independent Contractor 
General Agency order 
*Your First Name: 
*Your Last Name: 
*Travel Agency Name: 
*Travel Agency Address: 
*City: 
*State: 
*Zip 
*Country: 
 
*Travel Agency Phone  
     
Domestic: 
- -
International: 
- -
*Travel Agency IATA: 
Your Email Address: 

Independent Contractors please provide home address and phone if you wish to receive information at home. The above travel agency information must also be completed. Thank you.

Home Address 
City 
State 
Zip 
Country 
 
Your Phone 
Domestic 
International 
Your Email Address 

Requested Items 
Number of Brochures 
Number of videos on VHS 
Number of videos on DVD 


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