Your Name*

Email*

Phone*

Address

Address 2

City

State

Zip Code

Country

How many years have you worked as a Travel Consultant/Independent Contractor?*

How many years have you worked as an Independent Contractor?

Are you currently affiliated with an agency?
Yes
No

If yes, what is the agency name?

If yes, how long have you been affiliated with the agency?

Website (if you have one of your own, if not, your current agency's website)?

Have you worked with a Signature agency in the past? Yes
No

If yes, what is the agency name?

What is your total gross revenue?*

Who are your top cruise line suppliers?*

What is your total cruise revenue?*

Who are your top tour suppliers?*

What is your total tour revenue?*

Why are you considering changing affiliations (or joining an affiliation)?

What programs or services do you need that are not provided by your current affiliation? (Select All That Apply)
Higher commission rates
Better commission split
Marketing support
More training opportunities
More frequent communication
More interaction with fellow agents
Other

Signature member agencies have access to leading-edge technology tools, marketing tools as well as a comprehensive preferred supplier program and hotel and resort program.

What questions do you have about Lorraine Travel and the services that Signature-affiliated agencies provide for their consultants?

Are you looking for a host agency or a full service agency? Host Agency
Full Service Agency

Are you looking for a host agency in your geographical area? Yes
No

Are you looking to market your own agency brand?*
Yes
No

What is the size of your client database?*

Do you currently, or have you in the past, used ClientBase?* Yes
No

If you don’t use ClientBase, what do you use to manage your database and client relationships?

What back office system does your company use?

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