CLICK & COLLECT
Travel Agency Application Form
Agency Name
Affiliate Agent Program
Agency website
IMPORTANT APPLICATION NOTES
ACTA Membership Number*
(see notes on right)
First Name
Last Name
Title
Email
Phone
Cell
• 
If you are unsure of your ACTA
Membership ID Number or would like to
enquire about ACTA Membership please
contact Marlene Brown, Regional
Manager ACTA BC/Yukon
at 604-231-9941 or [email protected]
• 
If you are an agent and would like to
apply on behalf of your agency, please
proceed with the application, however, we
will need to contact the Agency owner/
manager to confirm final approval, so be
sure to include the appropriate contact
information.
• 
We register the applicant agency as a
whole. Each approved Affiliate Agency is
issued a unique Click & Collect account
number. Individual agents are then
authorized to sell and book Click &
Collect, once the Agency is approved.
• 
If you have any questions when
completing this application, please
contact
If you are not the agency owner/manager, please provide the agency management contact information
below. We will confirm the final approval of your application with the supplied contact person.
First Name
Last Name
Title
Email
Phone
Cell
Address
City
Postal Code
• ICE Marketing & Product Manager
[email protected]
# of agents in agency
If yes, please list city locations
Multiple Office Locations?
Yes
No
www.ice-canada.ca
Australian Dollar Ÿ Brazilian Real Ÿ Great Britain Pound Ÿ Chilean Peso Ÿ Chinese Yuan Ÿ Costa Rican Colon Ÿ Czech Krone Ÿ Danish Krone Ÿ Dominican Peso Ÿ Euro
Ÿ Hong Kong Dollar Ÿ Hungarian Florint Ÿ Indian Rupee Ÿ Jamaican Dollar Ÿ Japanese Yen Ÿ Malaysian Ringit Ÿ Mexican Peso Ÿ New Zealand Dollar Ÿ Norwegian Krone
Ÿ Philipine Peso Ÿ Singapore Dollar Ÿ South African Rand Ÿ South Korean Won Ÿ Swedish Krone Ÿ Swiss Franc Ÿ Taiwanese Dollar Ÿ Thai Baht Ÿ US Dollar Ÿ Australian