Today's Date:
AGENCY INFORMATION
* Required Fields (without this information we cannot pay commission)
Travel Agency Name
* Company Name
* Street Address
*City *State *Zip
Individual/Sole Proprietor Corporation Partnership Other
* Agency Phone #
* Agency Fax #
* Email address
** Create Agency Password
   (for online booking)		  5 to 10 characters
Office Manager Name
* ARC / CLIA #
* Tax Payer ID #
Canadian Agencies N/A
If we are sending commission checks to a corporate office, please enter information below.
Company Name
Street Address
City State Zip
When completed, please fax this application plus a copy of the first page of your current IATAN List or CLIA Certificate to
559.454.7789
**You will not be able to login & book online until you receive an email confirming your registration.
Confirmations are usually received within 24 hours.
Allegiant pays 10% commission on all air/hotel and air/car packages base fare (minus taxes) to the Travel Agency.
Air only, attractions, and seat selections do not receive commissions.
You may contact us at:
rescenter@allegiantair.com
702.505.8888 or 559.454.7784
Fax 559.454.7789