Agency Registration Form
2 Getaway Travel/Lomas Travel Groups
Agent Name
*
First Name
Last Name
Agent Email
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Agency Name
*
Do you belong to a Host Agency?
*
Yes
No
Your Host Agency's name
Agency's W-9 Form
*
Browse Files
Drag and drop files here
Choose a file
Use Host Agency's W-9 if applicable
Cancel
of
Agency Logo
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Lomas Travel ID #
*
Use Host Agency's Lomas Travel ID if applicable
How would you like to receive your commission?
*
Please Select
Zelle
ACH
Zelle - Please provide the phone number or email address to use in which the Zelle account is set-up under
ACH - Please provide Name of the account holder, Bank name, Bank Address, Account Number, Routing Number
Submit
Should be Empty: