Agent Registration

Access to this site is intended for travel agents in the United States and Canada. Once you register, you will need to log-in each time you wish to access the site. Your information is completely confidential and will not be shared with others.

* Indicates required fields

Contact Information
First Name:	*
Last Name:	*
Agency:	*
Address 1:	*
Address 2:
City:	*
State/Province:	SELECT -----UNITED STATES----- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana North Carolina North Dakota Nebraska Nevada New Hampshire New Jersey New Mexico New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington Washington DC West Virginia Wisconsin Wyoming -----CANADA----- Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon  *
Zip/Postal Code:	*
Country:	Canada United States  *
Phone:	*
Fax:
Email:	*
Agent Number:	IATA ARC CLIA ASTA N/A  *
Member of the Following Consortiums/Groups:
AAA Travel America's Vacation Center American Express Carlson Wagonlit Travel Cruise Holidays Cruise Planners CruiseOne Ensemble Travel Group Liberty Travel MAST Travel Network Nexion Results Travel Signature STPN Consortium The Travel Authority Travel Leaders Travel Network Uniglobe Travel Vacation.com Virtuoso YTB Travel Network Other:
Create an Account Password
Password:	*
Confirm:	*

Agent Questionnaire

Please answer the following questions to help us further develop the Black Hills Agents program to meet your needs.

1. What is your role in the travel industry?

Travel Agent/Planner Travel Agency Owner/Manager Tour Operator Reservation Agent (Airline, Cruise Line, etc.) Other:

2. How knowledgeable are you about Black Hills?

5 - Very Knowledgeable 4 3 2 1 - Not at All

3. How many room nights did you book in the Black Hills-Badlands in the past 12 months?  SELECT 0-25 26-50 51-100 100+

4. Which of the following Black Hills travel subjects are you interested in learning more about?

Travel/Adventure History Family Travel Native American Culture New Hotels & Developments Honeymoons

5. How did you find out about the Black Hills Specialist Program?

Email Colleague Referral Travel Agent Guide Trade Article Other: