American Express Travel

AMERICAN EXPRESS
Representative Travel Network

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Dear Travel Agency Owner:

Thank you for your interest in the American Express Representative Travel Network. The American Express Representative Travel Network can give you more of everything you need to prosper in today's market: More increased revenue earnings and cost-saving opportunities. More marketing and networking programs. More technology. If you're ready to reach more new customers, bring more added value to your clients and added profit to your business then you're ready to come aboard with us. To apply for our program or to receive additional information, please follow the instructions below. See you in the premier travel consortia of the decade!


Fill Out and Fax The Following Forms

Download and fill out the following form and please fax to Ernesto G. Lavandero at 212-640-0316:
  1. Form: Additional Branch Information
  2. Form: Safekeeping
  3. Form: Credit Inquiry Authorization


Submit Your Information

  • All of the below information is required before we can process your application.
  • A current Financial Statement, Balance Sheet and Income Statement must accompany all applications
    (No older than 6 – 12 months).
  • Fill out the information for each full service branch location.
  • Please submit a photograph of your office exterior and interior.

 


Business Information
Legal Business Name:
DBA (if applicable):
Street Address:
PO Box #:
City:
State:
Zip Code:
Telephone Number:
Fax Number:
Email:
Internet Address:

Owner Profile
Legal Name(s) of Owner(s):
First:
Middle:
Last:
Title:
Email:
First:
Middle:
Last:
Title:
Email:
Number of years owning present travel business:
Total number of years in travel industry:
Type of other business background:
Are you involved in community/civic activities?
No Yes  (If Yes, please describe below)

Certifications
Have you or any legal entity in which you have been an officer, director, member or partner (or in which you have held a management position or ownership interest greater than 10%) ever (i) been a defendant in civil litigation alleging fraud, deceit or similar claims, (ii) been charged or convicted of a criminal offense, (iii) filed for protection from creditors under applicable bankruptcy laws or (iv) been a defaulting party in a foreclosure procedure?

No Yes  (If Yes, please provide details below)

Agency/Primary Business Premise and Servicing Profile
Premise Manager Name:
First:
Middle:
Last:
Title:
Total # of Employees:
     
# of Full-time Employees:
     
# of Cruise Specialist:
     
# of Outside Sales:Leisure
     
# of Corporate Employees:
     
Languages spoken by staff:
Office Hours: Open Closed
     Monday - Friday:
     Saturday:
     Sunday:
Holidays your office is closed:   New Year's Day
  Memorial Day
  Independence Day
  Labor Day
  Thanksgiving Day
  Christmas Day
Can your firm arrange (if requested) to meet and assist foreign clients upon arrival in and departure from your city?   No        Yes
Does your office accept inbound requests (telephone, telex, mail) to make reservations in your local area?   No        Yes
Does your office now deal in foreign exchange or remittance?   No        Yes
What local markets (list cities and zip codes) does your business service?
City:

City:

City:

City:

Zip Code:

Zip Code:

Zip Code:

Zip Code:

Describe Business
Premise Location:
  Street Level
  Corporate Complex
  Mall
  Other (please describe)
     
Describe location of your office in relation to principal hotels, transportation terminals and business section of the city:
Describe your market and clientele:
Gross Sales Volume
$ 
Air Sales Volume
$ 
Dollar Volume of Cruise Sales
$ 
Dollar Volume of Tour Sales
$ 
Overall Business Split: Leisure and Groups:
% 
Corporate Business:
% 
Meetings and Incentives:
% 
Do you need our Business Travel Related Service?
No Yes
Do you currently sell American Express® Travelers Cheques?
No Yes  (If Yes, please provide your Account Number below)
Do you currently accept the American Express® Card?
No Yes  (If Yes, please provide your Merchant Number below)
Please list the issue month of your yellow/white pages directory:
Who are your major travel suppliers?
Tours:
Airlines:
CRS System(s):
Backroom Accounting System(s):
Psuedo City Code:
What is your I.A.T.A/ARC?
Are you an approved C.L.I.A. agency?   No        Yes
Please describe why you would like to become an American Express Travel Service Representative.
Additional # of Branches: (Page will expand for Branch input)

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Please Select Your State: