TravelSellers.com

NACTA   

 
FAX Cover Sheet

Please forward to:

TravelSellers.com
1101 King Street, Suite 200
Alexandria, VA 22314
Tel: 703-739-6826
Fax: 703-739-6861
______________________________________________

To submit your application for TravelSellers.com by fax or mail, please use this form. If you have submitted your application online and are sending necessary supporting documentation such as (1) proof state registration with the "Seller of Travel" laws if applicable; (2) proof of an agency business checking account;; (3) State license, registration, or letter of exemption, complete the information below and fax the accompanying documentation.

First Name: _______________________ Middle: _______ Last: _________________________

Company name: ________________________________________________________________

Address: ______________________________________________________________________

City: ________________________________ State: _________ Zip: ______________________

Phone1: ________________________________ 800# _________________________________

Fax: ________________________________ E-mail: __________________________________

The following documents accompany my application for a TravelSellers.com identification number:

____ Evidence of a state license, registration or letter of exemption, if required by the states of California, Delaware, Florida, Hawaii, Illinois, Iowa, Massachusetts, Nevada, Pennsylvania, Rhode Island, Virginia, and Washington State.

____ Evidence of professional agency business checking account.

Applications for TravelSellers.com identification numbers cannot be processed without the required information. Upon receipt, TravelSellers.com will complete the processing and confirm completion of your application.

I certify that the accompanying information is true and accurate and I authorize TravelSellers.com to verify all such information, which may be released to suppliers as requested. I further agree to abide by the terms and conditions which appear at www.travelsellers.com.

Signature:____________________________________Date:______________________

Fax the required information to : 703-739-6861