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 you find most interesting?
01. Amazonia
02.
Baņos
03. Cotopaxi
04.
Cuenca / Avenida Volcanes
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$10.00
processing fee)
Credit Card
(Through secure server)
After you CLICK SUBMIT
at the bottom of this form, you will be given options for payment.

Choose
Confirmation Letter Method:
FAX
EMAIL

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 2008. 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.