Registration/renewal Of Travel Agency Page 3

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MICHAEL A. MAURO

INSTRUCTIONS

Secretary of State

for Registration/Renewal

State of Iowa

of Travel Agency

IT IS IMPORTANT that you read and understand these instructions before you begin to complete the application form. Failure

to complete the application correctly or provide all the requested information will result in the application being returned and

a delay in filing. If there is insufficient space on the form to provide all requested information, attach additional pages as

required. If you have any questions, call (515) 281-5204.

ITEM 1

The complete name of the travel agency should appear here with the address of the travel agency.

A telephone number must also be provided.

ITEM 2

List the names of all the travel agents employed by the applicant. Attach additional pages if needed.

ITEM 3

List the name, address and phone of persons owning/controlling 10% or more of the travel agency.

ITEM 4

Foreign corporation only: provide the name & address of the resident agent in Iowa for service of process.

ITEM 5

owa Code chapter 9D.3 requires a travel agency to submit evidence of financial security. Check only one

box on the left by the type of financial security the travel agency is submitting to the Secretary of State.

After checking the type of financial security, follow the instructions in the right column:

If the application represents a new registration, the applicant must follow the instructions

in the right column, "for a new registration". The applicant must attach evidence of the type

of financial security submitted or that the travel agency is a member in good standing with the

ARC or other similar agency

If the application represents an annual renewal, the applicant must follow the instructions

in the right column, "for a renewal". Before a renewal registration can be issued, the secretary

of state must have proof that the travel agency's financial security has been renewed or the

travel agency's membership # in the ARC or other similar agency.

The application must be signed and dated by an authorized representative of the travel agency.

The fee for registration and renewal is $15.00. Make checks payable to the SECRETARY OF STATE.

All applications, whether a new registration or renewal, must be accompanied by the completed Consent to Service of Process

form. Through the Consent to Service of Process, the travel agency, in return for being granted the right to conduct business as a

travel agency in the state of Iowa, agrees:

(a) to designate the secretary of state as agent for the travel agency for the purpose of accepting service of legal documents, and

(b) to submit to the jurisdiction of the Iowa courts for resolution of any legal proceedings arising from operation of the travel agency

Penalties

Pursuant to Iowa Code section 9D.4 , a person required to register as a travel agency, or an owner of ten percent or more of a travel agency, required to

register under Iowa Code chapter 9D, which fails to register, fails to make required corrections to its registration statement, or fails to pay the required fee

on or before 30 days after the fee becomes due, commits a serious misdemeanor.

If a person required to be registered or listed upon a registration statement by Iowa Code chapter 9D receives money, as a fee, commission, compensation,

or profit in connection with doing business as a travel agency or travel agent in Iowa in violation of Iowa Code section 9D.2 , the person, in addition to the

criminal penalty set forth above, shall be liable for a civil penalty of not less than three times the sum so received. Iowa Code section 9D.4(2).

A violation of Iowa Code chapter 9D is also a violation of Iowa Code Section 714.16 , commonly known as the Iowa Consumer Fraud Act. Iowa Code section

9D.4(3). Penalties for violating Iowa Code section 714.16 may include injunctive relief, restitution, attorneys fees, investigative expenses and a civil penalty

not to exceed $40,000 per violation.

9D_001