Travel Agent Registration Form

ONLY $49.00 plus $10.00 S/H, TOTAL $309.00
You can either fill in this form with your credit card information and submit it or you can mail it, with your check (specifying AGENT #1454) or money order to Apollo Travel, 2950Airway Ave., #B1, Costa Mesa, CA 92626, OR Call Toll-Free 800/601-9591, mentioning agent # 1454.

     (Required)      Visa    Mastercard   

              American Express  Discover/Novus

     Credit Card Number:(Required)
     Expiration Date:(Required)

BILLING INFORMATION: Name, as it appears on the credit card.
Address, where the credit card bill is sent.

     Full Name :(Required)
     e-mail : (REQUIRED!) 
     e-mail : (Repeat)     for verification
     Company :            
     Address is where your credit card bill is sent.
     Address :(Required)  
     Address2 :           
     City :(Required)     
     State :              
     Country :(Required)  
     Zip/Postal Code :(Required) 
     Telephone Number:(Required)  
     Fax Number :                

       Yes, my partner or Spouse would like to take advantage
           of the Limited Time Offer of $150.00.

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