K’S LEAD

EU I

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NG
VE

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RI
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RC
R UISE

CLUB
1-888-838-8820

Travel Agency IATAN / CLIA# / TRUE

Contact Name Position

Mailing Address

Tel ( ) Consortia / Network

Email Web Page

COMMISSION STRUCTURE

Cruise Programs

River Cruises 15%

Fax or email completed form and W-9 to:

info@rivierarivercruises.com
203-290-4173

Signature of Agent Date / /

Signature of Riviera River Cruises Date / /

FOR OFFICE USE ONLY:

Traveller code Source Agent Email

CMSYS CRM Notes