Tahiti
image
TRAVEL AGENT REGISTRATION FORM

Please fill out all boxes below to register. All * are mandatory fields.
Please be sure to type in your information as thoroughly as possible.
Thank you! Mauru’uru!
 
First Name *
Last Name *
Title
Agency Name *
Address *
Suite
City *
State *
Zip Code *
Country *
Agency Phone *
Agency Fax
Agency Web Site
Email *
Verify Email*
Create Password *
Verify Password *
 
 
Mailing Address Check if different than primary contact address
 
Street
City
State
Zip Code
Phone
Fax
 
Select primary credential and provide numbers *



 
Type of Agent *
Check all that apply
Agency Based Home Based/Independent
Part-time Group/Meeting Planner
Destination Weddings
 
How many years have you been a travel agent? *
  years
 
 
 
Travel Affiliation *
 
AAAAmerican Express
CLIAEnsemble Travel
MASTOSSN
Signature Travel NetworkTravel Leaders
Vacations.comVirtuoso
WESTAOther
 



Please list your top 3 Tahiti preferred Tour Operators*

Please list your top 3 Suppliers in The Islands of Tahiti




Have you visited The Islands of Tahiti in the last 12 months? *
 Yes   No
If yes, when?   (year)
Organized Group?  Yes   No

Islands visited:
Tahiti Moorea Bora Bora
Huahine Rangiroa Raiatea
Taha'a Tikehau Marquesas
Tuamotu Austral Other

 
Additional Comments
 
Please copy the image text below into the box:
CAPTCHA Code ImageChange the code
Access Code: *




  Receive our Tiare Newsletter
Did you know?
  • It takes under 8 hours to fly from Los Angeles to Tahiti.
  • The time difference between Tahiti and the USA is only 2 hours.
  • Tahiti is composed of 118 islands, atolls and motus spread across the size of Western Europe.



  • Print This Page | Media Site | Privacy Policy | Tahiti Tourisme Web sites | © 2017 Tahiti Tourisme United States