Australia Travel Marketing / TRAVEL AGENTS REGISTRATION FORM

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TRAVEL AGENTS REGISTRATION FORM

Please complete the following application form to register as a travel agent with Australian Travel Marketing. Once your application is approved, you will receive your UserId and Password, enabling you to access the confidential travel agents' rates on our website.

COMPANY DETAILS
Company Name	*
Travel Agent Licence Number	*
Street Address	*
Suburb	*
City	*
State/Province	*
Postcode/ZIP	*
Country	*
Phone	*
Fax	*
(please include country code and area code in telephone and fax numbers)
E-Mail	*
Web Site (if applicable)
Your Name	*
Your Position/Title	*
Company Director's Name	*
Please provide a brief company profile, including your main markets and destinations *

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