COAST Wholesaler Update Form

Thank you for using our online wholesaler update form. Note: Business name and submitter info is required.
Please fill any fields that you would like to update from your current online bio and leave fields blank if no update is required.

Business Information

Business Name (required):

Business Main Operation:

Street Address:

Business City:

Business State/Province:

Business Country:

Business Mailcode:

Business Phone:

Business Fax:

Business Email:

Business Website URL:

Please use http://xxx.xxx.xxx format.

Preferred Airport Code:

Business Short Description:

Business Long Description:

Additional Business Information:

Please enter any additional contact phones, email or website URLs here, one item per line.

Company brochure which includes Australia?

Australian content in brochure?

Month of brochure production:

Approximate passengers to Australia per year:

Inbound tour operator:

Preferred Consortia:

Business Specialties:

Air OnlyBIG Ship Cruise (pre-post only)BIG Ship Cruise (sales)Destination EventsDestination WeddingsEco-Tourism - Nature focusEducation TravelFamilyFITsFood - Wine - CulinaryGay and LesbianGroups: Adhoc or SeriesGroups: Brochure WrapHoneymoons - RomanceImmersion - CulturalIncentive - Conventions

LuxuryNone SpecifiedPrivate long haul Air CharterSoft AdventureYouth

Business Contact Information

Name Of Primary Contact (Product):

This should be the product development planner of your company North America based.

Primary Contact Title:

Primary Contact Specialty:

Primary Contact Phone:

Primary Contact Email:

Primary Contact Additional Info:

Name Of Secondary Contact (Product/Training):

This should be the training manager or whomever best to work with/for Australian product updates and training.

Secondary Contact Title:

Secondary Contact Specialty:

Secondary Contact Phone:

Secondary Contact Email:

Secondary Contact Additional Info:

Name Of Primary Marketing Contact:

Please provide one source if you have one.

Primary Contact Title:

Primary Contact Specialty:

Primary Contact Phone:

Primary Contact Email:

Primary Contact Additional Info:

Owner/President/Director (Name and Title only):

As a courtesy we understand some owners/presidents may not wish to be the first point of contact.

Owner/President/Director Title:

Other Notes, Comments, Requests:

Please use this area to provide any additional items you would like us to be aware of (explanation, comments, questions).

Submitting Person's Contact Info

Submitting Person's Name (required):

Submitting Person's Email (required):