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AFFILIATE REGISTRATION FORM

This form needs to be faxed back on +44 (0) 871 433 6340
BECOME AN AFFILIATE AND START EARNING

ENTER YOUR DETAILS HERE
YOUR FIRST NAME
 
YOUR FAMILY NAME
 
COMPANY NAME
 
ENTER YOUR POSTAL ADDRESS HERE      -    PAYMENTS WILL BE SENT TO THIS ADDRESS
 
TELEPHONE #
 
PAYMENT METHOD
[  ] Cheque             [   ] Vouchers
EMAIL ADDRESS
 

TRAVELLER DETAILS HERE
Individual, Couple or Group Booking ?

DEPARTURE DETAILS
From:  
To:  
Cheapest or Direct Flight:  
Enter Date of Travel:  
Duration of Travel: (DAYS)  
Best Fare (optional)  

CONDITIONS
In order for payment to be made, you must complete this form in full
Offer does not extend to family and friends of Hackney Travel Employees
Commission is only payable once the final fare has been settled and tickets are issued
Management has the right to alter, amend or cancel this scheme without notice
Offer available on Airline Tickets purchased strictly through a Hackney Travel outlet
All payments made are by cheque and are sent to the above address shown
We do not accept multiple requests for the same traveller and travel date.
All applications are dealt on a first come basis
Commission payable excludes all infant fares

Continue of separate sheet if required....
Total Number of Travellers ?

List of Travellers

(1)
Name
Date of Birth
Nationality
Contact Number
 

(2)
Name
Date of Birth
Nationality
 

(3)
Name
Date of Birth
Nationality
 

(4)
Name
Date of Birth
Nationality

(5)
Name
Date of Birth
Nationality

ONCE INTRODUCED, TRAVELLERS MAY DEAL DIRECT WITH HACKNEY TRAVEL CENTRE