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JAX FAX Guide to Host Agencies, Co-ops & Consortium will be distributed
with the JAX FAX Travel Marketing Magazine July issue
to over 80,000 print and digital edition subscribers

To be included in this guide please fill out the form below by June 7th.

Company Name**:
Co-op Agency:
Host Agency:
Consortium:
Address**:
City**:
State (2 letter code)**:
Zip Code**:
Website**:
Years in operation**:
Number of Member Agency Locations**:
Membership Fee/Fee Structure**:
President (name):
VP Sales (name):
Membership Contact for New Inquires:
Telephone**:
Email Address**:
New Agency Criteria - What experience do agents have to have to join?:
Member Benefits and Services:
 
(** Required Fields)