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Note: This page has been copied from http://www.letacanada.com/application/corporate-tpsignup.php as an example.
This form is designed to qualify both Travel Agents and the Travel Trade categories.  I think it would be better to have two separate forms, a Travel Agent Registration Form accessible for the Home Page and a hidden Travel Trade Form where Applicants are by invitation only.  This would make it simpler for Travel Agents to fill out and not concern themselves about getting into a better commission category.   I think it is the agents we should address first. They will be the biggest target market in the Travel Trade for our customer's products and it will be easier to convince our customers to offer a 10% commission than 20 and 30% which are expected by the tour operators, consultants and wholesalers (receptive operators). Once we have enough 10% product, we can activate the link on the Home page and start marketing.

We will need to also develop Qualifying Forms for our customers (tourism product suppliers) who are willing to offer even the 10% commissions - # years in business, insurance, licenses, memberships in associations, maybe references.
TRAVEL TRADE REGISTRATION
 
Contact Information
 
       
First Name:
 		 Organization Name:
Last Name:
 		 Website:
Email: Toll Free #:
Phone:    
Fax:    
   
Mailing Address
 		 Office Address (if different from mailing address)
       
Address Line 1: Address Line 1:
Address Line 2: Address Line 2:
Country: Country:
Province:
Province:
City: City:
Postal Code: Postal Code:


Your Profile

If Canadian, provide your license number with the Registrar of Travel Services of Canada #:

Provide a list of industry memberships or certifications:

In 150 words or less, describe your company (i.e. background, years in business, highlights, overall product offerings):

Select the following that best describes your organization:
 

Tour Operator Receptive Tour Operator Travel Agency
Incentive Planner Independent Travel Consultant Not for Profit
Educational Travel Supplier Other/Special Interest (Specify: )


Provide your business mix by percentage (%):
 

FIT Group Incentive Students Other  (Specify: )


Please select the geographical region(s) where you currently offer your programs (select all that apply):
 

All of Canada Atlantic Canada Canada North
Central Canada French Canada Maritimes
Prairies Rockies West Coast/Islands


Please indicate your business model?
 Business to Business   Business to Consumer   Both

How long has your company been in business?
 years

Target Audiences: (check all that apply)
 

Independent Travellers Escorted Coach Travellers Cruise Ship Travellers
Corporate & Incentive Groups School Groups Special Interest Groups
Intergenerational Groups Seniors (65+) Matures & Baby Boomers (45-64)
Young Adults (18-44) Children (<18) Families