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Largest independent
buying group in
Australia
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Concorde Agency Network Registration
To become a member of the Concorde Agency Network you must have an account with Concorde International Travel Pty Ltd. To open an account, please
contact your State office
who will assist you.
You must complete all mandatory fields in order to send the form.
* Required information
Company details
*
Account number:
*
Company name:
*
Registered address:
*
Suburb:
*
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
*
Post code:
*
License number:
ABN number:
ACN number:
Trading (business) name:
Business address:
Suburb:
State:
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postcode:
Contact details
*
Phone:
*
Fax:
Email address:
Website:
*
Key contact person:
Position:
Other details
IATA/DAPA Number:
TIDS Number:
Virgin Blue Agent Number:
ICCA Membership Number:
AFTA Membership Number:
CRS Type:
Pseudo City Code:
Contract Expiry Date:
Number of Terminals:
Travel Insurance Authorisation:
Toursafe
Sursave
Other
Business Insurance/Pl:
Telco:
Telstra
Optus
Other
Your Concorde Business Development Manager:
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2008
Concorde Agency Network.
