JAX FAX 2010 Guide to Host Agencies, Co-ops & Consortium

will be distributed to over 25,000 print and digital edition subscribers

with the JAX FAX Travel Marketing Magazine July 2010 issue.

To be included in this guide please fill out the form below by June 4th.

HOST CO-OP AGENCY & CONSORTIUM PROFILE INFORMATION
Company Name**:
Company Type (Please check all that apply )
Co-op Agency:
Host Agency:
Consortium:
Contact information:
Address**:
City**:
State (2 letter code)**:
Zip Code**:
Website**:
Years in operation**:
Number of Member Agency Locations**:
Membership Fee/Fee Structure**:
President (name):
VP Sales (name):
Membership Contact for New Inquires:
Telephone**:
Email Address**:
New Agency Criteria - What experience do agents have to have to join?:
Member Benefits and Services:
All submission must be received by June 4th.
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(** Required Fields)