Independent Travel Agent Application

Please insert an "X" in the box next to your selection.

Payment Total:
We have 4 different levels of the memberships:

Basic          $299 + the $49.95* activation fee= $348.95
Silver         $398 + the $49.95* activation fee= $447.95
Gold           $498+ the $49.95* activation fee= $547.95
Platinum   $698 + the $49.95* activation fee= $747.95
       
Additional years will be billed to your 
selected form of payment each 
subsequent annual period at the current 
rate.
*Activation Fee is non-refundable.

Contact Information:

       Name: 
       SS #: 
    Address: 

       City:  State: 
   Zip Code:  Country:

Home Phone:

Bus. Phone:

 
        Fax: 
      Email:

 Billing Information:

    Credit Card: 
    Card Number:  Exp:  (MM/YY)

Cardholder Name:

I am at least 18 years of age and I am a resident of the United States or Canada . I have listed the above contact information in order to be contacted by GTI or its partners via mail, email, telephone, text messaging, and/or pre-recorded messaging. GTI is a Member of or Accredited by Cruise lines International Association, Airlines Reporting Corporation, International Airlines Travel Agent Network, BBB of Central Florida. Sellers of Travel FL-20734 CA-204394740

Please make sure that your name and address is the same as it appears on your credit card statement.

For immediate processing, complete this
 application, including credit card information
 and submit it on-line.

Applications sent to us "on-line" are processed 
via our secure server. Our server uses the 
highest levels of security and encryption 
technology available to protect all of our on-line
 transmissions.

 or if you prefer,
 fax it to (954) 424-9884.  You may also mail it to
 Global Travel International, New Business Development, 
C/O J. and J. Web Enterprises, Inc. 320 Torchwood Avenue, 
Plantation, FL 33324.


This offer may not be incentivized, 
part of a survey or coregistration path.