Registration/renewal Of Travel Agency

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MICHAEL A. MAURO
REGISTRATION/RENEWAL
Secretary of State
OF
TRAVEL AGENCY
State of Iowa
For Office Use Only:
TA #:
Exp. Date:
This application represents:
First Time Application
Annual Renewal
As required by Iowa Code chapter 9D, the travel agency submits the following registration/renewal information.
Please type or print clearly.
1.
Name of Travel Agency ________________________________________________________________
Address ____________________________________________________________________________
Phone Number _______________________________________________________________________
2.
Name of all travel agents employed by applicant (attach additional pages if necessary).
3.
Name, address and phone number of persons owning or controlling 10% or more of the travel agency.
NAME
ADDRESS
PHONE
4.
Foreign corporation only: name and address of the resident agent in Iowa for service of process.

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