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<p style="text-align: center;">Travel Agent Participant Agreement</p>
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<p><br><br>
FAMTrips.TRAVEL is proud to serve as coordinator of these FAMS or FAM/Seminars offerings. The reservation and application process via our Web site is a simple process as outlined below..</p>
<p>1.	Complete and submit your application electronically from our website.<br>
2.	Or you may print the application below and fax if needed.  FAMTrips.TRAVEL prefers to have you submit the application electronically.<br>
3.	Wait for confirmation to arrive by E-MAIL within two business days. You may want to call FAMTrips.TRAVEL to confirm that we received your electronic application.  Our phone number is (888) 909-3267 (FAMS).<br>
4.	Mail payment by check to FAMTrips.TRAVEL at address below OR contact FAMTrips.TRAVEL for us to send you a credit card authorization form to pay by credit card after you are confirmed.<br>
5.	Send a copy of your eligibility (TRUE certificate, IATA card, CLIA card or certificate, ARC)  You can mail this with payment or fax it to (941) 761-6128.<br>
6.	Consider insuring your familiarization to protect from loss by contacting your trip cancellation insurance provider.</p>
<p>For further information, email us at fams@famtrips.travel or call (888) 909-3267. Limit two agents per agency per each FAM departure.</p>
<p>1. Complete and submit this application<br>
Please accurately complete all the requested information and either click the "Submit Application" button below, or print this form out and fax it to (941) 761-6128 or scan and send to FAMTrips.TRAVEL  to guarantee your reservation. The best way is to simply fill out the online application form below and submit electronically.</p>
<h3>FAM Information</h3>
<div class="column-half first">Name of FAM:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap nameoffam"><input type="text" name="nameoffam" value="day 3" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="nameoffam" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">Date of FAM:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap dateoffam">[php snippet=1]</span></div>
<p><br></p>
<h3>Agent Information</h3>
<div class="column-half first">* Name of Travel Agent:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Name_of_Travel_Agent"><input type="text" name="Name_of_Travel_Agent" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="name" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">* Agent's Gender:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap gender"><span class="wpcf7-form-control wpcf7-radio" id="gender"><span class="wpcf7-list-item first"><input type="radio" name="gender" value="Male">&nbsp;<span class="wpcf7-list-item-label">Male</span></span><span class="wpcf7-list-item last"><input type="radio" name="gender" value="Female">&nbsp;<span class="wpcf7-list-item-label">Female</span></span></span></span></div>
<div class="column-half first">* Email Address:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Email"><input type="email" name="Email" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" id="Email" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">*Agent's Home Address:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Home_add"><input type="text" name="Home_add" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="home_add" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">*City, State, Zip:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap city_state_zip"><input type="text" name="city_state_zip" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="city_state_zip" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">*Home Phone:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap home_phone"><input type="text" name="home_phone" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="home_phone" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">Home Fax Number:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap home_fax"><input type="text" name="home_fax" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="home_fax" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">*Name on Passport:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap name_passport"><input type="text" name="name_passport" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="name_passport" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">*Passport Number:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap passport_num"><input type="text" name="passport_num" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="name_passport" aria-required="true" aria-invalid="false" style="background-image: url(data:image/png;base64,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); background-attachment: scroll; background-position: 100% 50%; background-repeat: no-repeat;"></span></div>
<div class="column-half first">*Date of Birth:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Bdate"><input type="date" name="Bdate" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" id="Bdate" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">* TRUE, IATA, TIDS, CLIA or ARC Number:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap arc_number"><input type="text" name="arc_number" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="arc_number" aria-required="true" aria-invalid="false"></span></div>
<p><b>Agent Status: (check all that apply):</b><br>
Independent Contractor: <span class="wpcf7-form-control-wrap agentstatus"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox"><span class="wpcf7-list-item first"><label><input type="checkbox" name="agentstatus" value="Owner">&nbsp;<span class="wpcf7-list-item-label">Owner</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox" name="agentstatus" value="Outside Sales">&nbsp;<span class="wpcf7-list-item-label">Outside Sales</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox" name="agentstatus" value="Commercial Agent">&nbsp;<span class="wpcf7-list-item-label">Commercial Agent</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox" name="agentstatus" value="Manager">&nbsp;<span class="wpcf7-list-item-label">Manager</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox" name="agentstatus" value="Vacation Specialist">&nbsp;<span class="wpcf7-list-item-label">Vacation Specialist</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox" name="agentstatus" value="Full-time">&nbsp;<span class="wpcf7-list-item-label">Full-time</span></label></span><span class="wpcf7-list-item"><label><input type="checkbox" name="agentstatus" value="Group Specialist">&nbsp;<span class="wpcf7-list-item-label">Group Specialist</span></label></span><span class="wpcf7-list-item last"><label><input type="checkbox" name="agentstatus" value="Independent Contractor">&nbsp;<span class="wpcf7-list-item-label">Independent Contractor</span></label></span></span></span></p>
<div class="column-half first">*Citizenship:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Citizenship"><input type="text" name="Citizenship" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="Citizenship" aria-required="true" aria-invalid="false"></span></div>
<p><br><br>
<b>Companion Information</b></p>
<div class="column-half first">Companion's Name on Passport:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Cnp"><input type="text" name="Cnp" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="Cnp" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">Companion's Passport Number:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Cpn"><input type="text" name="Cpn" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="Cpn" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">Companion's Date of Birth: </div>
<div class="column-half second"><span class="wpcf7-form-control-wrap CBdate"><input type="date" name="CBdate" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" id="CBdate" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">Companion's Gender:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Cgender"><span class="wpcf7-form-control wpcf7-radio" id="Cgender"><span class="wpcf7-list-item first"><input type="radio" name="Cgender" value="Male">&nbsp;<span class="wpcf7-list-item-label">Male</span></span><span class="wpcf7-list-item last"><input type="radio" name="Cgender" value="Female">&nbsp;<span class="wpcf7-list-item-label">Female</span></span></span></span></div>
<div class="column-half first">Companion Is:</div>
<div class="column-half second"> <span class="wpcf7-form-control-wrap Companion_is"><span class="wpcf7-form-control wpcf7-radio" id="Companion_is"><span class="wpcf7-list-item first"><input type="radio" name="Companion_is" value="Non-Industry">&nbsp;<span class="wpcf7-list-item-label">Non-Industry</span></span><span class="wpcf7-list-item last"><input type="radio" name="Companion_is" value="Travel Agent">&nbsp;<span class="wpcf7-list-item-label">Travel Agent</span></span></span></span></div>
<div class="column-half first">Companion Citizenship:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Companion_Citizenship"><input type="text" name="Companion_Citizenship" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="Companion_Citizenship" aria-required="true" aria-invalid="false"></span></div>
<p><br><br>
<b>Agency Information</b></p>
<div class="column-half first">* Name of Travel Agency:</div>
<div class="column-half second"> <span class="wpcf7-form-control-wrap Name_of_Travel_Agency"><input type="text" name="Name_of_Travel_Agency" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="Name_of_Travel_Agency" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">* Agency Address:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Agency_Address"><input type="text" name="Agency_Address" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="Agency_Address" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">* City:</div>
<div class="column-half second"> <span class="wpcf7-form-control-wrap City"><input type="text" name="City" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="City" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">* State:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap State"><input type="text" name="State" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="State" aria-required="true" aria-invalid="false"></span> </div>
<div class="column-half first">* Zip:</div>
<div class="column-half second"> <span class="wpcf7-form-control-wrap zip"><input type="text" name="zip" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="zip" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">* Agency Phone Number:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap AgencyPhoneNumber"><input type="text" name="AgencyPhoneNumber" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="AgencyPhoneNumber" aria-required="true" aria-invalid="false"></span></div>
<div class="column-half first">*Agency Fax Number:</div>
<div class="column-half second"> <span class="wpcf7-form-control-wrap AgencyFaxNumber"><input type="text" name="AgencyFaxNumber" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" id="AgencyFaxNumber" aria-required="true" aria-invalid="false"></span></div>
<p>Other Information:<br>
OSSN member agents will receive a $25 saving on any fam by submitting their OSSN or TRUE membership card. After you apply for a fam, email a copy of your card to info@famtrips.travel.</p>
<p>Share Arrangements:**</p>
<div class="column-half first">Smoking Preference: </div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Smoking"><span class="wpcf7-form-control wpcf7-radio" id="Smoking"><span class="wpcf7-list-item first"><input type="radio" name="Smoking" value="Smoking">&nbsp;<span class="wpcf7-list-item-label">Smoking</span></span><span class="wpcf7-list-item last"><input type="radio" name="Smoking" value="Non-Smoking">&nbsp;<span class="wpcf7-list-item-label">Non-Smoking</span></span></span></span></div>
<p>Do You Have A Handicap or Medical Need? Some FAMS may not have handicap support or may involve strenuous walking conditions.  If so provide details in the comment field about your condition.</p>
<div class="column-half first">Comments:</div>
<div class="column-half second"><span class="wpcf7-form-control-wrap Comments"><textarea name="Comments" cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea" id="Comments" aria-invalid="false"></textarea></span></div>
<p>Payment Instructions<br>
Once you have received the FAMTrips.TRAVEL confirmation letter, you will be given the option to pay by credit card or by check in your confirmation letter.  If payment is not received in a timely manner (indicated in your confirmation letter), your reservation request will be declined.<br>
2. Fax<br>
Full-time agents, part-time agents, outside sales agents and independent contractors must show proof of industry affiliation. Accepted forms of identification are an IATAN ID card, IATAN list,  TRUE Photo ID Card, TRUE Certificate, current CLIA photo ID card, CLIA Certificate of host agency with letter from host verifying your eligibility, TIDS ID Card or ARC list.  Eligibility requirements vary among suppliers.<br>
You must fax any of the above to (941) 761-6128.<br>
3. Mail<br>
Once you have received FAMTrips.TRAVEL E-Mail Confirmation for your FAM booking then please  fax or scan your eligibility to fams@famtrips.travel or fax (941) 761-6128.  You may mail your eligibility along with your payment if you are paying by check to the address below.<br>
Please note that a specific number of days is given on your confirmation within which time payment must be received. If you prefer to use credit card for payment, then FAMTrips.TRAVEL will add a 3% fee when we  email a credit card authorization form to you (upon your request)  to be filled out and faxed or scanned back to FAMTrips.TRAVEL.<br>
Mail to this address:<br>
FAMTrips.TRAVEL<br>
22410 68th Avenue East<br>
Bradenton, FL 34211</p>
<p>4. Be Patient<br>
FAMTrips.TRAVEL  E-Mail confirmation within two days of receiving the reservation form.<br>
5. Insure Your FAM!<br>
Why take a chance if you have to cancel your FAM for any reasons. Contact your trip cancellation insurance provider to secure your policy.</p>
<p>&lt;<enter the="" code:="">&gt;</enter></p>
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<p>* Denotes mandatory fields that must be filled out.<br>
** If requesting share arrangements, FAMTrips.TRAVEL is not responsible to confirm the agent rate that is based on double occupancy.  If we cannot find an agent roommate, then the agent will be required to pay a single supplement if you cannot find your own roommate.  FAMTrips.TRAVEL will strive to accommodate your smoking preference. However, if we are unable to place you in a cabin or room of your preference, non-smoking will take precedence.<br>
Cancellation Charges and Disclaimer:<br>
Prior to 90 days before departure, cancellation penalty is $200. p.p. From 90 days prior to 60 days prior to departure date, cancellation is 50% of full payment. From 59 days prior to departure until date of departure, 100% penalty applies. Travel Industry Educational Services, LLC (TIES) reserves the right to cancel seminar portion of FAM in the event group minimum participation is not met. ALL CANCELLATIONS MUST BE RECEIVED IN WRITING. TRIP CANCELLATION INTERRUPTION INSURANCE IS AVAILABLE THROUGH YOUR PREFERRED TRIP CANCELLATION INSURANCE PROVIDER.<br>
Travel Industry Educational Services (TIES), LLC,  DBA FAMTrips.TRAVEL neither guarantees nor insures the service to be provided by any carrier and shall assume no liability for actions beyond its control in connection with the service provided. TIES or FAMTrips.TRAVEL is not responsible or liable for any act, error, omission, injury, loss, accident, delay, non-performance, or any other irregularity or any other consequence resulting from therefrom, which may be occasioned through the neglect, default, or any other action of the company, carrier, or person engaged in carrying out the purpose for which tickets have been issued. Suppliers reserve the right to change, modify or cancel fam programs at any time. We recommend the purchase of trip cancellation insurance. </p>
<p>Copyright © 2015 . FAMTrips.travel | All rights reserved | Use subject to terms and conditions.<br>
22410 68th Avenue East, Bradenton, FL 34211 | (888) 909-FAMS (3267) Fax (941) 761-6128 |fams@FamTrips.travel  |FL Seller of Travel  ? | CA Seller of Travel CST ?</p>
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