New Wholesaler Form

    Business Information

    Business Name (required):

    Business Main Operation (required):

    Business Byline/Slogan:

    Business Phone (required):

    Business Fax:

    Business Email (required):

    Business Website URL:

    Business Description (required):

    Business Long Description (required):

    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:

    Submitting Person's Contact Info

    Submitting Person's Name (required):

    Submitting Person's Email (required):

    Business Contact Information

    Name Of Primary Contact (required):

    Primary Contact Title:

    Primary Contact Specialty:

    Primary Contact Phone (required):

    Primary Contact Email (required):

    Primary Contact Additional Info:

    Name Of Additional Contact (required):

    Additional Contact Title:

    Additional Contact Specialty:

    Additional Contact Phone (required):

    Additional Contact Email (required):

    Additional Contact Additional Info:

    Other Notes, Comments, Requests:

    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