Canadream Agent Sign-up Form

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Agency

Name of Agency

Contact Name

Parent Agency Name

Company Address

Street Address

Town/City

Post Code/Zip Code

Country

Company Phone Number

Fax

Mailing Address

Same as company address

Street Address

Town/City

Postal Code

Country

Agency Information

Agency Website

Type of Agency/Tour Operator

Agency/Tour Operator Regulator/Licence #

IATA#

Number of Agencies

GST/HST # (Canadian Agents only)

Facebook Page

Twitter Feed

Online Bookings

YesNo

Do you want to work with

Net RatesRetail rate with commission

Do you currently sell Motorhome product

YesNo

Background Information on your agency

More