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Travel Agent Registration Form

intro to the registration form





1. Your Details:
Company Name: (required)
Trading Name:
Type of Business: (required)
Other:
IATA Number: (if applicable)
Contact Person #1: (required)
Position Held: (required)
Email: (required)
Contact Person #2:
Position Held:
Email:
Street Address: (required)
Postal Address: (if different)
Suburb:
City: (required)
State/Province:
Zip/Post Code:
Country: (required)
Phone: (required)
Facsimile: (required)
  Note: Please include country code and area code in phone and fax numbers.
Website: (required)


2. What Are Your Requirements?
Destinations: I am interested in the following destinations
(Please check all that apply):
 New Zealand
 Fiji
 Cook Islands
 French Polynesia
Access to Website: Do you wish to register for the Website Confidential Customer Resource Area?
Yes No
Newsletters: I would like to receive your regular email newsletters:
Yes No
  How did you hear about us?
  Before submitting your request, please check
that you have entered all required information.