Registration Form

Is this a Travel Agency or Travel Advisor Signup?

Travel Agency SignupTravel Advisor Signup

Travel Agency Details

Country

United StatesCanadaInternational

Agency Name

Agency Type

Agency Phone Number

Do not include special characters

Registered Trade Association

Trade Association ID

Do not include special characters

Other Registered Trade Association

Please confirm other 'Registered Trade Association'

Agency Affiliation/Consortia

Is Your Agency Registered ?

Upload 2018 or Later W9

Required if you selected United States

Upload W8

Required if you selected Canada

Upload TICO License or GST

Required if you selected Canada

Upload Affiliation Letter

If you have selected an Affiliation/Consortia, please provide Affiliation Letter.

Travel Agency Address

Agency Primary Address
* This address must match what is on your W9 form. This is where all commission checks will be mailed.

Street Address

Address Line 2

City

State/Province

Postal/Zip Code

Country

Primary Address Same as Physical Address?

YesNo

Agency Physical Address (If Different from Primary Address)

Street Address

Address Line 2

City

State/Province

Postal/Zip Code

Country

Signature

If you've made reservations, please provide reservation numbers in order for us

to move these to your new profile.

Reservation ID

First Name

Signature of Agency Owner/Manager

Last Name

Signature of Agency Owner/Manager

Email of Agency Owner/Manager

By signing this Agency Registration Form above, I consent and request to receive e-mail messages from American Queen Voyages at the numbers/addresses listed on this form. Under penalty of perjury, I certify that the information provided above is correct to the best of my knowledge.

First Name

Signature of Travel Advisor

Last Name

Signature of Travel Advisor

Email of Travel Advisor

By signing this Advisor Registration Form above, I consent and request to receive e-mail messages from American Queen Voyages at the numbers/addresses listed on this form. Under penalty of perjury, I certify that the information provided above is correct to the best of my knowledge.

Contact Information