All Agencies Account Form
Agency Name:__________________________________________
Agency Address:________________________________________
Country:________________________________________________
City:___________________________________________________
Zip/Postal Code:__________________________________________
Agency Phone Number:____________________________________
Agency Fax Number:______________________________________
Agency Email Address:____________________________________
Agency Contact Name:_____________________________________
Agency Identification Number____ TRUE ___ ARC____CLIA____IATA
Agency Identification Number_________________________________
This number will be your LNM Travel account number______________
Create Agency Password______________________
5 to 10 characters, upper case letters and numbers only.
Agency Certificate Upload____PLEASE SEND in email as a scan copy.
W-9 or W-8BEN Upload Please send in email as a scan copy.
If commission checks are to be sent to a corporate office, please enter the information below.
Agency Name:____________________________________________
Agency Address:_________________________________________
Country:_________________________________________________
City:____________________________________________________
Zip/Postal Code:__________________________________________