Down Under Answers Agent Registration

* First Name:

   

* Last Name:

   

* Email address:

 

* Agency Name:

   

* Consortium (if any):

   

* Agency Address (street address):

   

Agency Address suite/unit:

   

* City:

   

* State / Province:

   

* Zip:

   

Agency Mailing Address

(if different from above)

Street Address

   

City

   

State/Province

   

Zip

   

* Agency Phone number - option 1:

   

* Agency Phone number - option 2 (800#)

   

Agency Fax:

   

*IATA / CLIA / TRUE number:

   

Additional Comments:

 

Year Established:

   

What best describes your company operations:

 

How will you be sending most bookings:

 

Key contacts

 

Name / Email

 

General Manager:

 

Operations / Reservations Manager:

 

Account Department Supervisor:

 

* Approximate number of people your company sends to AU and NZ annually:

   

All fields with * are required