Fill out only these two fields... (required)
Name of Company (required):
Email Address (required):
No spaces or non-letter/numeric characters other than dash, period, underscore, @ allowed.
Placing your email address here will not change the email address on your listing - please use the Change Email field farther down the form to make changes to your email.
Address Info
Type of Company:
Primary Listing Location (required)
Please list city, state/province (if applicable) and country.
This can be your actual business location, or a travel destination which is one of your specialties.
Secondary Listing Location
Please list city, state/province (if applicable) and country.
We'll also list you in a second destination if you desire, at no extra charge.
Name of Company (required):
Street Address:
City:
In Hawaii and on other islands, please include the name of the island after the city, separated by a comma.
State/Province:
Zip/Postal Code:
Country:
Phone Numbers
US/Canada/Caribbean: Enter in this format:
Local Phone #:
Toll Free #:
Fax #:
Mobile #:
Contact and Ownership Info
Contact Name:
Name only, no titles. Max 2 names
Change Email Address:
Enter new email address here if you want to change it from the current listed email address.
Note: This should be your "reservations" email address. If the email on your listing is different from this one, we will change it to match the email address that you list in this box. Please use the email address here that you wish to have appear on your listing.
Website Address:
Custom website, dedicated to your travel business is required.
Is Your Company (required):
Clientele:
Check as many as apply.
Who do you cater to? All you select will be shown on your free listing. To be listed in this directory, you MUST select at least one other choice besides "straight".
Description
Company Description:
Describe what your company offers to travelers (areas of special expertise, low-cost packages, high-end tours, etc) in 60 words or less. Longer descriptions will be edited to the first 60 words.
Services Offered
Service Type
Offered by your Company?
Lodging Reservations:
Yes
No
No Change
Airline Ticketing:
Yes
No
No Change
Cruise reservations:
Yes
No
No Change
Car Rental booking:
Yes
No
No Change
Guided Tours
Yes
No
No Change
Vacation Planning:
Yes
No
No Change
Specialties, Affilliations & Other Info
Handicapped Travel:
Yes
No
No Change
Corporate Travel:
Yes
No
No Change
Student Travel:
Yes
No
No Change
Travel with Pets:
Yes
No
No Change
Specialty Destinations:
Up to five destinations, eight words total; please separate with a comma.
Affiliations/Accredations:
Up to three organizations, please list acronym only ie: IGLTA. If you list more than three, we will only list the first three.
Any Other Comments?
Use this space to send us any thoughts / questions / comments etc. you have. We'd especially like to hear if you think we missed anything on this form or the free listing, and we'd also love to know what other services you'd like to see for agents and operators on the Purple Roofs site.This information will not be posted on your free listing.
