Your Travel Agent CRM
2 COUSINS TRAVEL, LLC
Client Registration Form
Please select your agent *
Please select agent
Adelee Le Grand
CHARLENA KENDRICK
Mari Swayne
Paula Beatty
Stanley Smith
Valara Anderson
Vernice Randle
Virtral Goode
First Name *
Middle Name
Last Name *
Username (for client login)
Password
Birth Date
Email *
Street Address
Street Address 2
City
State
Zip Code
Country
Home Phone
Cell Phone *
Work Phone
Existing Client
Marketing Opt-In
YES
NO
Military
Request for Information
Create Date
By submitting this form, I agree to receive travel promotions and supplier specials via SMS from
MarketEase
on behalf of my Travel Agent. Message frequency may vary. Message and data rates may apply. Reply
STOP
to opt out or
HELP
for assistance.
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