*Important Note - To apply for a Resagen Travel Agent account, you must be a registered travel agent. You must supply either an IATA number, your international VAT number, or your local Travel Agent licence number.

Company Name :

IATA number if applicable :

VAT number if applicable :

Travel Agency Licence Number if applicable :

Contact Name :

User Name :

Password :

Confirm Password :

Email :

Address :

City :

Postal/Zip Code :

Country :

Phone Numbers :

* Phone Numbers separated by commas(,).

Fax :

* Fax Numbers separated by commas(,).

Web Site URL :

Average Pax Number per Year to Paris:

Main Specialisation (Incoming to) :

Main Specialisation (Outgoing from) :

About yourself :