NACTA   

 

Agent Information Form All areas with * and in bold must be completed to request a reservation. Forms received without complete information will not be processed. Thank you! Please be aware that we randomly verify information provided on these forms for agency verification and eligibility. * Agent Name NACTA Member # * Agency Name * Address * City * State and Zip Code * Home Address * City * State and Zip Code * Agency Phone Area Code * Home Phone Area Code * Agency Fax Area Code * Email Address Host Agency Name if Applicable Host Agency Phone Number Area Code If you do not have a Host Agency then please provide one of the following as agency verification.   TravelSellers.com # CLIA Number # IATA Number # ARC Number # ASTA Member # * Individual Agent's Approximate Annual Cruise Volume booked in 2006. Based upon requests from the hosting cruise lines this information may need to be verified in certain cases and cruise availability may be subject to revenue numbers. Please Check Box That Applies Less than $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 or more * Individual Agent's Approximate Annual Tour & Package Volume booked in 2006. Based upon requests from the hosting companies this information may need to be verified in certain cases and space availability may be subject to revenue numbers. Please Check Box That Applies Less than $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 or more Please check all that apply Agency Owner  Agency Manager  Inside Agent  Independent Agent