ICCA Membership Application

Apply On-line Now!

Travel Agent Application Form

To Join the ICCA on-line,

Complete the on-line application form below.
You must select joining as either Travel Agent or Individual.
Applications will only be approved where business has been issued with a Travel Agent licence from regulatory bodies within Australia or New Zealand
After submitting the form, print out the confirmation page for your records.
You will receive an invoice for your new membership within 48 hours
Once payment has been received your membership will be activated. We will forward a window decal to be displayed and you will be listed on our website.
Please ensure you check your details are correct on the website www.cruising.org.au or www.cruising.org.nz

* Denotes Required Information

1. Agency/Company Details

Joining As :
*Agency/Trading name :
*Manager First Name :	*Surname :
*Key-Contact First Name :	*Surname :
Street Address :	City: :
State: :	Postcode :
Country :	Telephone :	()
*Email :	Fax :	()
Your Company Website :
Your Preferred login Details for the ICCA website
Please note that the password MUST consist of combined Alpha & Numeric characters in lowercase only. ie: ( pass123word )
* Login (email) :	*Password :

2. ABN Number:

3. IATA number:

4. Staff Listing: Enter your staff names...

	Title	First Name	Middle Names	Surname
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DISCLAIMER
The above mentioned business is a licensed Travel Agent or if joining as an individual member I confirm that all travel related business is placed through a licensed Travel Agent.

Please tick to confirm and proceed