Agency Registration Form

Voyzant LLC

Agency Name

Agency GDS

Agency Address

City

State

Zip

Tel

Fax

Tax ID #

Customer ID / DK #

ARC

IATA

CLIA

TRUE LIC

Owner's Name

Owner's Last Name

Home Address

City

State

Zip

Additional Notes

Agency agreement and letter of understanding Agency agreement and letter of understanding I have read and accept the agreement.

If you had difficulty filling out the digital form online, please fill out the form manually.

Once completed, you can submit the manual form via email to usregistration@voyzant.com

Thank you for your cooperation.

US Head Office. 237 W 35th Ste 806. New York, NY 10001

US Branches: Chicago, Detroit, Houston, Los Angeles

Phone: 1 347 632 2030 | voyzant.com