Travel Agent Sign In
Not Registered?

Travel Agent Registration



APPLICATION FOR PEREGRINE TRAVEL GROUP AGENT BOOKING NUMBER

Please complete all questions (* = Required Information)
  1. Address / Telephone Information*








     

  2.  

  3. Yes No
     

  4. Yes No
     
  5. Agency Information*








     

  6. Errors & Omissions Bond None
     
     
  7. Number of Agents:




     

  8. Less than $500,000 $500,000-$999,999 $1M-$2,999,999
    $3M-$4,999,999 $5 M - $10 M More than $10 M
     

  9. Less than $500,000 $500,000-$999,999 $1M-$2,999,999
    $3M-$4,999,999 $5 M - $10 M More than $10 M
     

  10. Yes No
     

  11. Yes No
     

  12. Yes No
     

  13. Yes No
     

    Yes No
     

     

  14. Yes No
     

     

  15. Yes No
     

    What is the size range for your groups in number of guests?
     

  16. Yes No