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Travel Agent Application Form

PLEASE NOTE:
We do NOT accept address with just a PO Box Number!
We do NOT accept agents that are NOT Residents and Citizens of the USA.

Personal Information:
Full Name
Address 1
Address 2
City / Town
State
Zip
Day Phone
Night Phone
Cell
Fax
E-Mail Address

Your web site Information: Give us 3 names for your web site in case someone has already used one of your options. The web address will end in .AgentARC.net (Example: http://.2travel4less.AgentARC.net )
Your 3 options for a web address:
Phone number for site:
Email for site:

Payment Information:
Name you want commission checks made payable to:
Two References: Name and address, phone number and e-mail address
Your Drivers License Number:
Birth Date:

Other Information:
Any special skills or hobbies?
How did you hear about us?
What countries or cruise ships have you travel to or on?
Experienced travel agents, explain your travel agent work experience:
No travel agent experience, why do you think you would make a good travel agent?

Please read the Home Based Travel Agent Contract.

Refund Policy:
All monthly payments are final. If you decide you no longer want to own a online Travel Agency you can quit at any time.

I have read and agree to the terms of the above Home Based Travel Agent Contract.

Type "Yes" in box if you agree to the terms of the above contract.

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Travel Agent Application Form

Personal Information:

Your web site Information:

Payment Information:

Other Information: