Travel Agent Commission Program

Buena Vista Scooter Rentals Travel AgentsTo register for our "Commission Program" and begin receiving 20% commission for wheelchair, stroller, and scooter bookings, as well as receiving our Travel Agent Newsletter please fill out the form below.

A W9 is required for ALL, booking, agents. Commission will NOT be processed without  an updated W9.

COMMISSIONS ARE NOT PAID FOR ONLINE BOOKINGS. MUST be called in to receive commission.                   

For pricing inquiries or reservations, please reach us at (866) 484-4797                                       

Host Agency Name:
Host Agency Address:
Host Agency City:
Host Agency State:
Host Agency Zip:
IATA/CLIA Number:
First Name:
Last Name:
Email:
Phone:
Fax:
Message / Comments:
Upload W9:
 
Required