Name of Agency *

Contact Name *

Telephone Number *

Fax Number

Contact Email Address *

Number of Active Agents

Mailing Address *

IATA/TIDS #

Please Note: Commission Payments will only be paid via Electronic Funds Transfer. The following information is required:

Financial Institution Name *

Financial Institution Address *

Transit Number *

(must be 5 digits)

Institution Number *

Bank Account Number *

Email Address to which Remittance Statements will be sent *

If you would like to print and fax this form, please click the 'Print and Fax' button above. Completed forms should be sent to:

Rachel Nelson
Accounting Manager
Harbour Air Ltd.
Fax: 604-278-9897
Email