Submit Your Profile Information and Agency Agreement

Your Profile in The Polar Cruising Guide

Name(Required)

Title(Required)

Cruise Lines(Required)

Lines that you're an expert in selling.

Email(Required)

Phone(Required)

Website

Additional Specialties

Language(s) Spoken

Certifications

Consortium Memberships

Additional information about your background, experience, or anything else you would like to share

Photo

Please submit your photo in a jpg or png format at a mininum of 150 dpi.

Accepted file types: jpg, jpeg, png, Max. file size: 8 MB.

Agency Agreement for Submission to The Polar Cruising Guide

Please detail why you consider your agency or agent an expert selling polar travel(Required)

How many voyages have you personally made to a polar region?

Please detail line and itinerary

Legal Name (hereinafter "Agency" or "the Agency"(Required)

If you are part of franchise, please put your own agency name / then franchise name.

Agency Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Phone(Required)

Fax

Contact Email(Required)

If hosted: Name of Host Agency

If hosted: Host Address

Street Address Address Line 2 City State ZIP Code

Host Contact Name

Host Contact Email

Host Telephone Number

Sellers License Number(s)

For the following states that require licensing.

States Where Agency Is Licensed

California

Florida

Iowa

Memberships, e.g. CLIA, IATA, ASTA

Agency/Agent Recognitions

Name of the company that carries your E&O insurance(Required)

Term/Automatic Renewal

The Term of this Agreement is one year from Agreement date. The Agreement automatically renews annually unless notice of intent to terminate is given by either Party at least sixty (60) days before the end of the term. Automatic renewal is good for up to ten (10) additional one- year terms.

Electronic Signatures

It is expressly agreed that the parties hereto may execute this Agreement via electronic facsimile and such signature pages shall be treated as originals for all purposes.

Seen and Agreed To(Required)

I agree to the terms and signature statement above

Date(Required)

Type Name, Title, and Agency Legal Name here(Required)

Prove Your Humanity

Click the checkbox below.

Inclusion Details

Click the cover to view details in a new window.

Contact Us

Need more information?
Want to to pay by check?

Call us
Heidi Allison (248) 935-3224
Lieka Weintraub (908) 588-7900

Or send us a message.