First Class Travel Network New Agent Intake Form with Payment

Welcome to First Class Travel Network!

Please complete this form in its entirety. This information will be used for your enrollment, commission payments, supplier registration, and issuance of year- end tax forms (1099-NEC All information will be kept strictly confidential. You may also be required to submit a completed IRS W-9 for reporting purposes.
PERSONAL INFORMATION
Name (as shown on tax return)*

First NameLast Name
Date of Birth*
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Emergency Contact Name*
Emergency Contact Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us? If someone referred you, please provide their name. *
BUSINESS AND TAX INFORMATION
Business Name (if applicable)
Tax ID Number( SSN or EIN)- please specify which one*
The above number is my:*

SSNEIN
I will submit an IRS W-9 form as required for tax reporting.*
MEMBERSHIP TIER SELECTION

Your monthly subscription is processed securely through our training platform. This form only collects your one-time set-up fee. After completing this form, you will receive a link to activate your monthly subscription inside the training platform.
Type a question*

Main Cabin- $40/month -75% CommissionBusiness Class - $50/month - 80% CommissionFirst Class - $60/month- 90% Commission
Email for Commission Payouts via Paypal*
example@example.com
TRAVEL INDUSTRY EXPERIENCE
Have you ever operated a travel business? If you currently have a travel business, please check the terms of your independent contractor agreement.*

YesNo
Briefly describe your travel experience: List any certifications (CLIA, IATA, TRUE, specialist programs):*
How did you hear about us?
SOCIAL MEDIA AND MARKETING
Facebook Profile Link
Instagram Handle
TikTok Handle
Do you currently have a website?*

YesNoIn progess
If yes, please provide the URL.
Do you currently have Travel Joy? If you currently have Travel Joy, once your account is transferred, you forms will transfer as well.*

YesNo
Would you like to be listed on the website under the agent directory? If you would like to be added, please submit a picture and short bio along with contact information. In order to be added, you must complete the training.*

YesNo
COMPLIANCE AND AGREEMENTS
*

I agree to complete First Class Academy training modules.I agree to offer travel insurance to every clientI agree to keep all client payments and bookings compliant with FCTN policies.I agree to maintain confidentiality of supplier portals, client data, and FCTN resources.I understand that all fees are non-refundable.I understand that an Independent Contractor Agreement (ICA) will be sent after this form and must be completed before I can begin selling travel.I understand that I must also pay my first monthly fee upfront via the training platform.I understand that my monthly subscription must remain active for continued access to the training platform, supplier registration, and all agent resources.
By signing below, I confirm that all information provided is true and accurate. I acknowledge the enrollment fee and my selected monthly membership tier. I authorize FCTN to issue a 1099-NEC using my provided SSN/EIN.
Signature*
Date*

MonthDayYear
Date
My Products
prevnext( X )
Investment Fee
One- time investment fee

$99.00 Quantity

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

PERSONAL INFORMATION

BUSINESS AND TAX INFORMATION

MEMBERSHIP TIER SELECTION

TRAVEL INDUSTRY EXPERIENCE

SOCIAL MEDIA AND MARKETING

COMPLIANCE AND AGREEMENTS