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New Travel Agent Registration
Please enter the name and address of the person to whom we should address all correspondence about your participation in the Affiliates Program:
Business Contact
Business Name:
Address:
Zip / Postal Code:
Town:
Country:
Phone:
Fax:
Business Email Address:
Job Title:
*
Website Information
(Please enter your websiteinformation below)
IATA No:
Promocode:
Website URL: e.g.
http://www.hotel-hunters.com
Website Description
Website Visitors per Month
Average monthly number of hits your website receives)
*
Payee Information
(
Please tell us who and how you will like to be paid
)
Select Payment Type :
By Paypal
By Bank Transfer
Select Payment Currency :
GBP
USD
EUR
Tick this box to use the same information from my business contact (above)
Full Name:
Address:
Zip/Postal Code:
Town:
Country:
Phone:
Fax:
Business Email Address:
Account Number:
Sort Code:
IBAN
BIC:
Please enter the name and address of the primary contact person
Primary Contact
Tick this box to use the same information from my business contact (above)
Full Name:
Address:
Zip/Postal Code:
Town:
Country:
Phone:
Fax:
Business Email Address:
Job Title:
*
Technical Information
(Please enter the name and address of the technical contact person)
Tick this box to use the same information from my business contact (above)
Full Name:
Address:
Postal / Zip Code:
Town:
Country:
Phone:
Fax:
Business Email Address:
Job Title:
Password Information
Choose a Password:
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