Game Entry

Travel Agent First Name *

Travel Agent Last Name *

Travel Agent Email Address *

Travel Agency Name *

Travel Agency IATA or TIDS#

Travel Agency State/Province * - Province - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon - States - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Travel Agency Area Code + Phone Number

*By registering you agree that your personal information can be used to provide offers, promotions and services offered by SATA Azores Airlines or their partners [Discover the World, Agent World, and bigblueroad]. Registered agents must have a valid email address and phone number.

Fields marked by an asterisk * are required.