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NY Star Limo Travel Agent Registration Form To receive commissions

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NY Star Limo Travel Agent Registration Form To receive commissions Powered By Docstoc
					NY Star Limo
Travel Agent Registration Form To receive commissions, please read and complete all sections below. Documents 1, 2, and 3 are required. Please send the following: 1. 2. 3. 4. This form with your signature as certification A copy of your IATA or CLIA certificate A completed Form W-9 or Form W-8 from the Internal Revenue Service A list of reservations and dates of service in need of commission payment (optional) DATE______________

Please Complete All Sections Travel Agent

Name_______________________________________ Telephone_________________________________________Fax__________________________ E-Mail_______________________________________ Travel Agency ARC/IATA/CLIA No._________________________ Telephone #__________________________ Agency Name______________________________________________ Street Address ____________________________________ ____________________________________ ____________________________________ ____________________________________ City ____________________________________ State ______________ ZIP Code______________ Country ____________________ After all required documents have been received, please allow five (5) business days for processing. For any inquiries, please call 877-310-0101 or 212-410-0101 Fax Completed Documents to

212-202-4242
Certification
All of the information that I have provided on this form is correct to the best of my knowledge and I am authorized to submit this registration form. I understand that this application is subject to approval. I authorize Manhattan Limo Coach to make any inquiries that it considers appropriate to determine if it should pay me commissions. This may include verification of employment. Signature________________________________ Date_____________________________


				
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