IATAN Travel Professional Profile Form
Weekly Hours: Check one (1) box only
“1” A person who works for the business entity 35 hours or more per week
“2” A person who works for the business entity 25 – 34 hours per week
“3” A person who works for the business entity 20 – 24 hours per week
“4” A person who works for the business entity 5 – 19 hours per week
Yearly Earnings: Check one (1) box only
$5,000 or over - as reported on W2 or 1099 from the business entity
Under $5,000
20% owner or more who does not draw salary
4. Employee Termination – Must be completed to delete Professionals who no longer work at the business entity.
Employee PRIN / Verification #: ________________________ Termination Date (mm/dd/yy): _____________________
I, THE BELOW SIGNED, HEREBY CERTIFY AND ACKNOWLEDGE:
1.
That the statements made in this application are true and correct.
2.
That IATAN has the right to verify, by inspection or other lawful means, that the information supplied is true and correct and in
the event this is declined or necessary documentation is not made available, IATAN may amend or suspend registration and
notify its subscribing customers.
3.
That the applicant will inform IATAN promptly of any changes to information and employment status.
4.
That by completing this application, the registrant will appear on the IATAN Personnel List. The owner / manager understand
that the applicant may request and receive an IATA/IATAN ID card if the applicant meets the qualifications.
5.
That IATAN is authorized to disclose information to industry suppliers regarding the applicant’s status with the IATAN business
entity at which he/she is registered, as well as the business entity status with IATAN.
SIGNATURES – both signatures are required for processing.
Signature of Applicant: __________________________ Printed Name of Applicant: _____________________________________
Signature of Owner/Manager: _________________________ Printed Name of Owner/Manager: ____________________________
PRIN / Verification # of Owner/Manager: _____________________________
Date (mm/dd/yy): __________________________
(IATAN PRIN / Verification # of Owner/Manager is needed for verification of signature)
Please send signed application to IATAN:
Website:
Email:
Mail: IATAN, 703 Waterford Way, Suite 600, Miami, FL 33126
October 2014
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(Document #102)