Membership IATA Travel Agent

Agent Name *
(Full Legal Entity)

Trading name
(if different from Agent Name)

IATA Agent Numeric Code *
(8 digits, omit spaces/dashes)

Company Registration Number *
(if you do not have a company number, re-enter your IATA code here)

GDS
Please indicate your primary GDS

Agent Address *

Country *

Telephone *

Fax *

Website

Persons Representing Company

Official representative *
(administrator)

Alternate representative

Directors and/or Senior Management

* (a)

Name
Designation

* (b)

Name
Designation

(c)

Name
Designation

(d)

Name
Designation

	Local SIM Kad
	SAFETRIP™
	DIP - Default Insurance Program (coming soon!)

I have read and understood the General Declarations prior to becoming a registered travel agent with travelneeds2u.com. *

Please ensure that all the fields are duly entered and information provided here is correct.

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