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* Required Fields
Independent Contractor Agreement:
Home-Based Agents - Click here to review and print our independent contractor agreement.
Local Agents with Established Clientele Click here to review and print our independent contractor agreement
 
Requested Program* :

   
Personal/Company Information:
   
First *
Last *
Business Name *
 
Mailing Information (Home) - Street Address Mandatory, Please No PO Box
Street*
City *
State *
Zip *
   
Mailing Information (Business)  Same as Above
Street
City
State
Zip
   
Phone (Business) * ( ) -
Phone (Home) * ( ) -
Phone (Cell) ( ) -
Phone (Alternate) ( ) - Please specify
Email *
Fax #: ( ) -
Social Security *  
State and Federal Tax ID #'s (for 1099)  
Is your business a corporation? *
Level of Experience *
Have you booked group travel before *
Projected Annual Gross Sales *
 
Note: you can simply estimate this number as we’re just attempting to gauge your level of business potential.
 
Type of Business you will be targeting? (Check all that apply) Leisure (Cruises, Packages, Tours)
Groups
Corporate Travel
Honeymoons/Weddings
Other (please specify)

How did you hear about us? *

Do you need Apollo?

 
 
Private Labeled Website (check all that apply):
 
 
   I will forward my private labeled website to re-direct to my own domain
I will email my company logo to you (Rectangular logos with a max. size of 75x200 pixels are best. Acceptable file types: .ais, .eps, .jpg, .gif, .pif, .psd)
I do not have a logo. Please insert the following company or personal name in place of the logo
 
 
   
Payment (Home-Based Agent Programs only):
   
Fee Amount
   
Form of Payment - Credit Card
   
 
Limited Power Of Attorney
I am
a Home-Based Agent of Montrose Travel
. I hereby appoint Montrose Travel this power of attorney to charge monthly expenses incurred by me during the course of my selling travel through Montrose Travel. Charges may include, but are not limited to: delivery fees, 24 Hour service, ticketing fees, GDS monthly fees. This "Limited Power Of Attorney" shall remain in full force and effect until terminated by me in writing, such termination to be effective only with respect to charges occurring after the time that the written termination is delivered to Montrose Travel.

I understand that Montrose Travel will provide detail of such monthly charges enclosed with my monthly commission check which is sent by the 15th of the month.

I also understand that my credit card will be charged each year based on my anniversary date for the yearly renewal fee associated with being a Home Based Agent with Montrose Travel. Montrose Travel will advise 30 days prior to the charge date.

 
Use the same credit card and billing information in the payment section above
Please keep a different card on file for this purpose
 
Card Type
 
Card Number
Expiration Date (MM/YY):
Name on Card
Billing Address
Apt #
City
State
Zip
 
By completing this section, I authorize Montrose Travel to hold the credit card on file as a Limited Power of Attorney and waive all rights for credit card chargebacks.
 
* I authorize the background check as outlined above.