Order Brochures
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TRAVEL PROFESSIONALS Date  12/1/2008
Agency Name
IATAN  CLIA  Number 
Agent First Name   Agent Last Name
 
Agency Street Address
City   State Zip
 
Agency Phone # ( -  Agency Fax # ( - 
Email Address 
Repeat Email Address 
How did you hear about us?
Consortia Affiliations 
Do you book groups? Yes No
Meetings? Yes No
Incentives? Yes No
Please send me:
Full Catalogs 10 
Small Rack Brochures 10  25 
Special Requests or Comments:
 

Please tell us how we may contact you (check yes or no for each).
You may contact me by email: Yes     No
You may contact me by mail: Yes     No


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