COMP ID Application EN

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							                 ID Card Application
                 Please read carefully before submitting the application.



HOW TO SUBMIT THE APPLICATION


        Please send your completed form along with the required documentation, photo, and payment to:
                                    Association of Canadian Travel Agencies
                        2560 Matheson Blvd. East, Suite 328 | Mississauga, ON L4W 4Y9
            Tel: (905) 282–9294 or 1–888–257–2282 | Fax: (905) 282–9826 | Email: idcard@acta.ca


WHO QUALIFIES?
The applicant must:
         Be a bona fide owner, employee or independent contractor of an IATA or TIDS accredited agency.
         Be a professional involved in the sale/administration of travel for a minimum of 20 hours per week.
         Have been currently working in the travel industry for at least the most recent six months.
         Earn a minimum of $10,000 in salary and/or commission in the prior 12 months.
         Be at least 18 years of age.


WHAT IS THE COST?

                           FREE! With Paid 2013 Agency Membership
                  **Limited Time Offer November 1st 2012 – February 28th 2013**

                  Non–                                                    Description
  ACTA
                  ACTA                              The fees listed below are for a two year period.
 Member1
                 Member

     $60*          $90*        For a new cardholder, renewal, change of employer or branch transfer.
     $30*          $45*        For replacement due to lost/stolen card; name or photo change (same expiry).
     $25*          $25*        Rush service fee (to be included to the card cost; priority processing).
                               Discount applies to CITC and CLIA designated members that qualify (see “Who
     ($5            ($5
                               Qualifies” section above). Designations are listed under question six (6) of the
 (Discount)     (Discount)
                               application form.
 1
  For applicants associated with ACTA members.
 * Price does not include tax (13%) – Effective September 1st 2012. Prices subject to change.
 Note: Application fee is nonrefundable in the event that an application is subsequently declined. A $35 administration fee will be
 levied on all NSF cheques (cards with outstanding NSF fees will be cancelled, should full payment not be received within 30 days.



WHAT ARE THE BENEFITS?
A list of suppliers that have committed to give recognition and/or value-added benefits can be found on the ACTA
website. Just click on the ‘ID Cards’ tab.


PHOTO
Please email a digital photo (in jpg format) to idcard@acta.ca by indicating your first and last name in the file
name and include agency IATA/TIDS number in email, or attach a passport-size photo (colour or black & white) to
your application.

Please note all photos must meet the specific requirements below. For a more detailed description of the photo
requirements, please refer to the Photo Selection Guide that is posted on ACTA’s website.
         Please ensure that there are no people or objects in the background.
         Please ensure that the background is not too dark or too bright and that your hair colour does not blend
         into the colour of the background.
         Please do not bend the photos as this creates crease marks in the image.
         Please provide a current photo or one that has been taken within the past 7 years.




                                                        PAGE 1 OF 5
               ID Card Application
               Please read carefully before submitting the application.


ELIGIBILITY

(1) To be eligible, you must work more than 20 hours per week with the company cited on your application.
(2) You must also attach one of the following for proof of eligibility. Please note that information provided
    remains confidential and is only utilized for approval of application. None of the materials submitted will be
    returned. Failure to provide required documentation will result in a denied application.
        a. Manager and Employee:
                  Copy of recent payslip showing the year-to-date earnings; or,
                  Copies of the front and back of cancelled cheques for a minimum of 12 months; or
                  T4 statement indicating the company name and yearly earnings. We do not need to examine
                  other financial or personal information, only year-to-date earnings.
        b.    *Shareholder/Partner:
                  Copy of partnership agreement; or
                  Share certificate indicating portion of shares held (must be owners of least 20% of shares in the
                company).
        c. *Sole Proprietor:
                  Proof of ownership; or
                  Provincial/Municipal business license.
        d. Independent Consultants:
                  Copy of commission statement; or
                  Copies of the front and back of cancelled cheques paid to the applicant for a minimum of
                  12 months. We do not need to examine other financial or personal information, only the year-
                  to-date earnings.

               * Must be currently working in the industry.

QUESTIONS?

Please contact the ID Card Coordinator at idcard@acta.ca.


                                            Privacy Statement

ACTA does not disclose personal information to third parties, except as indicated on the ACTA web site or
in policies available from the ACTA head office.

ACTA expressly reserves the right to cooperate with local, provincial and n ational officials in any
investigation requiring either personal information, including any personal information provided online
through our web site or reports about lawful or unlawful user activities on this site.

ACTA also reserves the right to change this Policy at any time. You "the user" will be notified of such
changes through disclosure on the ACTA web site. We also reserve the right to disclose any information in
an individual's account:

   •   To satisfy any law, regulation or government request;

   •   If such disclosure is necessary or appropriate to site operation; or

   • To protect the rights or property of ACTA and its users, sponsors, providers, licensors or
   merchants.

                                              Legal Statement

By accessing any area of ACTA, (the "Web Site") the user acknowledge s this notice, and agrees to the
terms and conditions, set out below. Except where stated otherwise, the term "ACTA " used on the Web
Site shall be deemed to include this trade association and its respective affiliates, subsidiaries, successors
and assigns and, where the context applies, its employees, staff, officers, and directors.




                                                 PAGE 2 OF 5
                                                 ID Card Application Form
                                                   PLEASE PRINT CLEARLY                         ALL FIELDS MANDATORY
1. APPLICANT INFORMATION

        MR.              MRS.                    MS.                                DATE OF BIRTH
                                                                                                          Y      Y   Y       Y   M   M   D   D


LAST NAME

FIRST NAME

AGENCY NAME

IATA OR TIDS #            -

ADDRESS

ADDRESS

                                                                                                        POSTAL
CITY                                                                               PROV.
                                                                                                        CODE

TEL.                      -                       -                                              EXT.

FAX                       -                       -

EMAIL

START DATE AT PRESENT AGENCY
                                             Y         Y     Y      Y   M     M       D     D


START DATE IN THE TRAVEL INDUSTRY
                                             Y         Y     Y      Y   M     M       D     D

2. HOURS WORKED AGAINST REMUNERATION PER WEEK? (Must be over 20 hours to be eligible)

               20-24                                        25-34                                         35 +

3. IN THE PAST 12 MONTHS, HAVE YOU WORKED AT ANOTHER AGENCY?

                NO                                          YES              IF YES, PROVIDE INFORMATION BELOW

AGENCY                                                                      IATA or
                                                                                                    -
NAME:                                                                       TIDS
                                                                                                    -
                                                                            TEL.                                         -
4.A. CURRENT POSITION IN AGENCY (See description on page 1)

              MANAGER                                                                     SOLE PROPRIETOR*

              EMPLOYEE                                                                    PARTNER

              SHAREHOLDER*                                                                INDEPENDENT CONSULTANT

4.B. CURRENT DUTIES
                                INSIDE                     OUTSIDE          JOB
              ADMIN
                                SALES                      SALES            TITLE:

5. DO YOU BELONG TO A CHAIN, CONSORTIUM OR A FRANCHISE?
                                         IF YES, PLEASE INDICATE NAME OF
              NO         YES
                                         CHAIN, CONSORTIUM OR FRANCHISE
6. QUALIFICATIONS (To appear on card, please attach a copy of membership card)

            CTC - CITC                                                               MCC - CLIA

            CTM - CITC                                                               ECC - CLIA

            ACC - CLIA

7. PHOTO

            I am emailing a digital photo to idcard@acta.ca

8. FEES (Postdated cheques will not be accepted and a $35 fee will be charged for all NSF cheques)
                                                                                  Non-ACTA
            Cheque (payable to ACTA)
                                                               ACTA Members        Members
                                                                                               For a new cardholder, renewal, change of employer
            Credit Card                                         $60, plus tax    $90, plus tax
                                                                                               Rush service fee
                                                                                               or branch transfer. (to be included to the card
                                                                                               cost
            Money Order                                         $25, plus tax    $25, plus tax
                                                                                               for priority processing).

            FREE with Paid 2013 Membership                     Note: A $5 discount to CITC and CLIA designated members that qualify
            (Limited Time Offer Nov 1,12 - Feb 28,13)          (see “Who Qualifies” section on page 1 of the application form). Only
                                                               one discount per card.

                                    VISA                                 MC                                   AMEX
CREDIT CARD
NUMBER:
                                                                                                               EXP.
                                                                                                                          M     M   /       Y      Y

NAME ON
CREDIT CARD
                                                                                LESS CITC OR CLIA
                                                                                DISCOUNT (if applicable)       $                        .
                                                                                TAX (13%)
                                                                                                               $                        .
                                                                                TOTAL CHARGE
Cardholder Signature                                                                                           $                        .
9. SIGNATURE OF AGENCY OWNER, DIRECTOR, OR MANAGER
            I certify that the information provided on this application form is correct and that I have read and agree to the terms and
            conditions of the Cardholder Agreement.

            I also confirm that the applicant meets the eligibility requirements set forth by ACTA to apply for an ACTA ID Card.




Name                                            Signature                                                          Date
10. SIGNATURE OF APPLICANT
            I certify that the information provided on this application form is correct and that I have read and agree to the terms and
            conditions of the Cardholder Agreement.




Signature                                                                                              Date


                                                Please send your application to:
                                    Association of Canadian Travel Agencies, ID Card Program
                                  2560 Matheson Blvd. East, Suite 328, Mississauga, ON L4W 4Y9
                                            Fax: 905-282-9826 Email: idcard@acta.ca
                                             ACTA ID CARD

                                     CARDHOLDER AGREEMENT

In consideration of the issuance by the Association of Canadian Travel Agencies (“ACTA”) of an ACTA
Travel Agent ID Card (the “Card”) to the Applicant, who is employed by or associated with the Employer,
being the Agency cited in the application form.

1.   Each of the Applicant and the Employer agrees:
     a) That the Card is, and at all times remains, the property of ACTA.
     b) That the Card is nontransferable.
     c) That the use of the Card is governed by this Agreement, and any other or amended terms and
         conditions that may be applied to it, by ACTA, provided that such other or amended terms and
         conditions are posted on the ACTA website, which is currently www.acta.ca.
     d) To take no steps to alter the data on the Card.
     e) To advise ACTA by telephone or email, and in writing, forthwith upon the occurrence of any of the
         following events:
         i)   loss or theft of the Card
         ii) termination for any reason of the relationship between Applicant and Employer
         iii) death of the Applicant
         iv) bankruptcy or insolvency of the Employer
         v) receipt of evidence of the fraudulent use of the Card or any of the data contained in it.
     f) That the Card may be
         i)   confiscated by ACTA or by anyone acting upon ACTA’s instructions, and/or
         ii) deactivated, electronically or otherwise
         in the event of suspect misuse and that ACTA shall not be liable for the consequences of such
         confiscation unless it was authorized by ACTA without any colour of right.
     g) That ACTA is entitled to make such inquiries as it may deem appropriate in order to verify the
         information on the Application Form or otherwise relevant to the Card, its issuance and /or its
         use, prior to or after its issuance.
     h) That ACTA is entitled to use and/or relay to any third party any of the data contained in the
         Application Form, or on the Card, and to advise the public or any third party of the status of the
         Applicant or the Employer or the Card.
     i)  That each is responsible to refund to any supplier, upon its request, the amount of any benefit or
         discount enjoyed by virtue of inappropriate acquisition or the misuse of the Card.
     j) That, except where ACTA has acted in a grossly negligent manner:
         i)   ACTA shall not be liable for any damages attributable to the issuance or the use of the Card,
              by any person, and
         ii) each will indemnify and save harmless ACTA from any liability, damages, cost or expense
              arising from the issuance or the use of the Card, by any person.
     k) To pay all fees associated with the issuance, renewal, amendment or other process associated
         with the Card that has been or will be issued to the Applicant on the basis of the Application
         Form.
     l)  That this Agreement is governed by the laws of the Province of Ontario and the laws of Canada
         applicable therein.
     m) That ACTA may charge a fee to renew, reissue the Card, or for administration on declined
         applications and NSF cheques.
     n) That ACTA may amend the terms of this agreement at any time provided that ACTA has mailed or
         emailed to you the terms of amendment 30 days in advance of such amendments. No such
         amendment may require the Cardholder to pay any retroactive additional charges or fees but
         may increase future service charges.

2.   The Applicant also agrees:
     a) To return the Card to ACTA forthwith upon ACTA’s oral or written request.
     b) To use the Card solely for his/her own use, and not to allow it or any of the data contained in it to
         be used by any other person.
     c) To use the Card only during its period of validity.
     d) To deliver the Card to the Employer forthwith upon the termination of his/her relationship with
         the Employer, and to cease immediately his/her use of the Card and the data on it.

3.   The Employer also agrees:
     a) To recover the Card from the Applicant, and to send it to ACTA forthwith upon:
         i)   the termination of its relationship with the Applicant, and/or
         ii) the occurrence of an event which renders the data on the card or in the associated
              Application Form incorrect or incomplete, and/or
         iii) the expiry of the Card’s validity
     b) To advise ACTA in writing forthwith upon its receipt of information that indicates that any of the
         data supplied on or with the Application Form is incomplete or inaccurate.
     c) That its membership in ACTA may be revoked, and/or other sanctions may be imposed on it by
         ACTA, in the event that the Employer engages in or condones the use of the Card in a way that
         violates this Agreement or any other or amended terms and conditions as described herein.




                                              PAGE 3 OF 5

						
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