Agent Application Form

Complete this form to apply to become a FirstClassTravelAlliance Agent. You’ll receive your agreement after submission. Onboarding fee billed only if accepted.

Contact

First Name *

Last Name *

Email *

Phone *

Legal & Payment

Business Entity name

EIN/SSN *

Address

City *

State *

Postal Code *

Tax & Compliance Uploads

Upload Government ID (PDF/JPG/PNG) *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Emergency Contact

Travel Focus

Social Media Handles

Agreements

The following is required

I agree to FCTA terms.

I understand the $250 one time 0n-boarding activation fee non-refundable once paid

I agree to submit accurate tax info

Signature

Digital Signature

Clear

Date of Application

Terms & Condition