Registration

All information provided will remain confidential.

Mandatory fields are marked with an asterisk (*)

User name*:

Must be an email address

Password*:

Minimum of 8 characters

First name*:

Last Name*:

Email address

Travel Agency name*:

Title*:

Address*:

City*:

Province:

State*:

Zip Code*:

Country*:

Phone No*:

Fax No

Manager's Name*:

Manager's Email*:

ARC/IATA#:

CLIA#:

TRUE#:

Select Your primary GDS:

Main PCC/OID:

AMADEUS

APOLLO

SABRE

WORLDSPAN

Main regions you sell*:
(Mark up to 3 regions)

Africa

Asia

Europe

India

Latin

Middle East

No. America

Pacific

How did you hear about Intraplan Travel?*:

Your website name:

Date*:

I accept General Conditions

PLEASE ENSURE THAT ALL MANDATORY INFORMATION IS PROPERLY FILLED IN THE APPROPRIATE FIELDS