Travel Agent Registration Form
First Name
Last Name
Email
Confirm Your Email
Phone
Address Line 1
Address Line 2
Town/City
State/County
Postcode/ZIP
Country
Company Name
Web Address
Confirm Relationship with Agency
Please select...
Owner
Employee
Sub-Contractor
Companies Registered Trading Name
Registered Trade Association
Please select...
ABTA
ASTA
IATA
N/A
Trade Association ID
Do you live in one of the following?
USA
Spain
Italy
n/a
Attach a W9 (For USA)
Please Provide CIF or NIF (For Spain)
Please Provide Codice Fiscale (CI) (For Italy)
Are You a member of a Consortium
Please select...
Yes
No
Consortia Name
Details
By submitting my information, I agree to be contacted by Walks and the Hornblower Group Family of Companies regarding my requirements, I agree to the
Terms of Us
e, and acknowledge I have read and understand the
Privacy Policy
.
Information for C
ommission
Payments
Currency
Please select...
USD
EUR
GBP
AUD
CAD
Payment Method
Please select...
Check via Mail (US Based Agents Only)
Financial Institution Routing
First & Last Name
Address 1
Address 2
Town/City
State/County
Zip/Postal Code
Country
Contact Information