Please note that registrations are subject to approval by William H.
Coleman, Inc. We must receive a copy of your IATA , CLIA, or
other qualifying form of Travel Agent ID. You can fax a copy of your
identification to 904-391-0038 or E Mail
sales@whcoleman.com
William H. Coleman, Inc. reserves the right to reject any application
if qualifications and space availability requirements are not met.
Company
Information
Please provide the
address and company information you would like to be printed in the
Official Directory of Services.
Company/Organization Name:
Mailing
Address:
City/State/Province:
Zip
Code/Postal Code/Country:
Internet -
Website Address:
Telephone:
Please include the
country code and city code, and/or area code, where applicable.
Fax:
Email:
Primary
Contact:
Please indicate who should
receive the confirmation letters, invoices all other information.
If contact is attending, please enter also
as delegate
Primary
Contact Email:

Delegate
Information
List the names and titles of the
Delegates who will be attending from your company.
Delegate 1 -
First Name / Last Name / Job Title:
Delegate 2 -
First Name / Last Name / Job Title:
Delegate 3 -
First Name / Last Name / Job Title:
Delegate 4 -
First Name / Last Name / Job Title:

Marketing Information
The following
information will be included in the Official Directory and available as
indexes of the Directory.
It is very important that you answer these
questions.
A. How many travelers does you send annually to Ecuador?
01.
Under 50
02. 50 - 100
03.
101 - 300
04. 301 - 500
05.
501 - 1000
06. Over 1000
B. What
percentage of your total annual sales is corporate?
01.
Under 10%
02.
10% - 15%
03.
15% - 25%
04.
25% - 50%
05.
50% - 75%
06.
Over 75%
C. What
percentage of your annual sales is leisure?
01.
Under 10%
02.
10% - 15%
03.
15% - 25%
04.
25% - 50%
05.
50% - 75%
06.
Over 75%
D. What is
your Agency's total annual sales in U.S. Dollars?
01.
Under $500,000
02. $500,000 - $1
Million
03. $1 Million - $3
Million
04. $3 Million - $5
Million
05. Over $5 Million
E. What type
of service(s) do you arrange?
01. Archeological
02.
Cultural/Historical
03. Diving
04.
Ecological
05.
Educational
06. Honeymoon
07.
Incentives
08. Sightseeing
09.
Sports
F.
Which of the following best describes your clients' pricing preference?
01.
Luxury
02. Moderate
03.
Economy
04. All of the Above
G. What
clients do you service?
01. Corporate
02.
F.I.T.
03. Groups under 250
04.
Groups over 250
H. What
Regions of Ecuador do you send or are interested in sending travelers
to?
01. Amazon
02.
Andes
03. Pacific Coast
04. Galapagos
05.
All Four Regions
I. What areas
does your Agency find most interesting?
01. Amazon
02.
Baņos
03. Cotopaxi
04.
Cuenca / Avenue of the Volcanoes
05. Galapagos Islands
06.
Guayaquil
07. North Coast
08.
Mitad del Mundo (Equator - Middle of the World)
09. Otavalo
10. Papallacta and
Antisana
11. Quito
12.
Region Wide
J. What are
some of the challenges you face selling Ecuador?
01.
Client lack of knowledge about Ecuador.
02.
Cost compared to other destinations.
03.
Client concerns about the quality of service.
04.
Concerns about security.
K. What is
your Agency type?
01.
Branch Office
02.
Head Office
03.
Single Office / No Branches
04.
Home Based
05.
Other
L. Please provide what you want to accomplish by attending this event.
(Limited
response to about 45 words)

Choose Payment
Method:
Company Check
(must be sent by courier if
international)
Money Order
(must be sent by courier if
international)
Wire Transfer
(Must add a US$20.00 processing fee for
wire transfers)
Credit Card
(Through secure server)
After you CLICK SUBMIT
at the bottom of this form, you will be given options for payment.

Terms of
Agreement
Please read
the Terms of Agreement below and check-off. Form will not be processed
unless the
box marked
"I agree with the terms" is checked:
I
agree with the terms above

Form Submission
Meet Ecuador
Seminars 2010.
After submission, you will be given the payment options.
Please note that
registrations are not confirmed until all fees have been paid and are
subject to approval by William H. Coleman, Inc. We must receive a copy
of your IATA , CLIA, or other qualifying for of Travel Agent ID. You can fax
a copy of your identification to 904-391-0038 or E Mail
sales@whcoleman.com
William H. Coleman, Inc. reserves the right to reject any application
if qualifications and space availability requirements are not met.