For Inquiries Call 1-888-525-8200

Agent:

Phil Bacon

Phone:

1-800-874-7969

Part 1: Internet Air Fares –Customer/Listing Information

Business Name: Phone numbers: Address: City: E-Mail Address: Contact Name: Existing URL:
	(1)		(2)

		State:		Zip:

			Contact Tel #:

Part 2: Internet Air Fares –Feature Selection

Customized City:

Reservation Link:

Post a fee of $_________

(1) Client:

(2) IAF:

Applicant requests that Internet Air Fares provide the customized web services as specified above and agrees that s/he has received and read, understands and agrees to be bound by the provisions stated in the Internet Air Fares Terms and Conditions which are incorporated herein by reference.

Order Signature:____________________________ Date:______________ Monthly/Annual

Approval

Print Name:___________________________________Title:____________________

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Part 3: Term/Invoice Items (Check appropriate box)

Per Month	Monthly Agreement	Annual Agreement	Mid-Month Discount
Page Cost:	$25	$20	25% 50% 75%
E-Mail Res Service:	$15	$10	25% 50% 75%

For credit card payment, please provide the following information and mail this form to Internet Air Fares, P.O. Box 8138, Cincinnati, OH 45208.

Credit Card #: ______________________________________

Name on Card:______________________________________

Billing Address:______________________________________

City: ___________________State: ____ Zip_______

Signature: _______________________________________