Request to access 'Clients Only' portion of www.travalco.com

USAGE AGREEMENT

GRANT OF LICENSE: Travalco USA Inc. owns the information that it makes available through its website and other means of distribution. It is expressly understood that Travalco makes this information available solely for the purpose to support the sales effort of products that will be obtained through Travalco USA, Inc. The information is checked for accuracy but Travalco USA, Inc. cannot accept any responsibility for the correctness of the information.

CONFIDENTIALITY: The information that Travalco USA Inc. makes available is specifically intended for its clients and not for any other party. By using the website and the information that it contains the user specifically agrees to do its utmost to use the information only in accordance with the license agreement.

I the undersigned accept the terms of usage stated above and agree to maintain the confidentiality of the information as well as the login name and password.

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Name: _____________________________________________________________________

Company Name: _____________________________________________________________

Address:___________________________________________________________________

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Your e-mail address: _______________________@__________________________
Verification will be sent via e-mail to the address entered above

Fax signed form to Travalco (305) 899-6510 for activation.