Coast North America
for Australian Product Suppliers
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:
Preferred Airport Code:
Business Short Description:
Business Long Description:
Additional Business Information:
Company brochure which includes Australia?
Australian content in brochure?
Month of brochure production:
Approximate passengers to Australia per year:
Inbound tour operator:
Preferred Consortia:
Adventure Specialist
Air Only
BIG Ship Cruise (pre-post only)
BIG Ship Cruise (sales)
Destination Events
Destination Weddings
Eco-Tourism - Nature focus
Education Travel
Family
FITs
Food - Wine - Culinary
Gay and Lesbian
Groups: Adhoc or Series
Groups: Brochure Wrap
Honeymoons - Romance
Immersion - Cultural
Incentive - Conventions
Luxury
None Specified
Private long haul Air Charter
Soft Adventure
Youth
Adventure
Air Carrier
Online
Online Travel Agency
Retail
Tour Buyer
Tour Operator
Tourism Office
Wholesale
Wholesaler
Name Of Primary Contact (Product):
Primary contact title:
Primary Contact Specialty:
Primary Contact Phone:
Primary Contact Email:
Primary Contact Additional Info:
Name Of Secondary Contact (Product/Training):
Secondary Contact Title:
Secondary Contact Specialty:
Secondary Contact Phone:
Secondary Contact Email:
Secondary Contact Additional Info:
Name Of Primary Marketing Contact:
Primary Contact Title:
Owner/President/Director (Name and Title only):
Owner/President/Director Title:
Other Notes, Comments, Requests:
Submitting Person's Name (required):
Submitting Person's Email (required):
