Thank you very much for your interest in Adrialin.

If you want to register as an agent, please fill in the following form.
You will then receive at once the agency contract with no obligation for you to read and print out.
As soon as we have received this signed, we will send you
your agency number and the password.

Travel agency login
Name of the travel agency * see 1.)
First name of the contact *
Surname of the contact *
House number and street *
Postcode *
Country *
Town *
Tel: *
Fax
e-mail *
Homepage
VAT-ID or No. *
Account holder
if different from the company name
Account number *
necessary for payment of commission
Name of bank *
necessary for payment of commission
Bank sort code *
necessary for payment of commission
Bank Identifier Code *
necessary for payment of commission
International Bank Account Number *
necessary for payment of commission
Director/holder
if different from contact
Office manager
if different from contact
Number of employees *
Opening times
Office location
Affiliation to chain/cooperation
Booking systems

other:
How many catalogues do you require?
Alternatively can also be ordered via Infox
 
* These fields must be filled in.
1.) As entered in the register of companies or trade licence.