www.corporaterewards.com
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54.242.47.138
Public Scan
Submitted URL: http://palladiumconnect.com/
Effective URL: https://www.corporaterewards.com/rmi/index.cfm?temp=2PFSeR2HqV7AU7uK9jH958pyoIX69PNDfx
Submission: On August 25 via manual from GB — Scanned from GB
Effective URL: https://www.corporaterewards.com/rmi/index.cfm?temp=2PFSeR2HqV7AU7uK9jH958pyoIX69PNDfx
Submission: On August 25 via manual from GB — Scanned from GB
Form analysis 3 forms found in the DOM
POST #
<form id="loginForm" class="validate" action="#" data-ajax="/rmi/ajax.cfm?temp=2PFSeR2HqV7AU7uK9jH958pyoIX69PNDfx&index=login" method="post" novalidate="novalidate">
<label for="loginEmail" class="required" aria-required="true">Your E-mail address <strong>*</strong> </label>
<input type="text" class="input" id="loginEmail" maxlength="241" name="loginEmail">
<label for="loginPW" class="required" aria-required="true">Your Password <strong>*</strong> </label>
<input type="password" class="input" id="loginPW" maxlength="40" name="loginPW">
<div class="button-container">
<div class="b1o3 content"></div>
<div class="b1o3">
<button id="login-button" type="submit" class="green button">Login</button>
</div>
<div class="b1o3 loginLinks">
<a data-scroll="" href="#forgot-password-section" class="forgot-link">Forgot your Password</a>
<br>
<a data-scroll="" href="#registerSteps" class="register-link">No account yet?</a>
</div>
</div>
<br class="clearBoth">
</form>POST #
<form id="forgotpw" class="validate" action="#" data-ajax="/rmi/ajax.cfm?temp=2PFSeR2HqV7AU7uK9jH958pyoIX69PNDfx&index=forgotPassword" method="post" novalidate="novalidate">
<p class="alignCenter push-down-alot"><strong>Please enter and send your email address</strong><br>We will automatically generate and new password for you<br>and will send it to your email address</p>
<label for="retrieveEmail" class="required" aria-required="true">Registered E-mail <strong>*</strong> </label>
<input type="text" class="inputRequired" id="retrieveEmail" maxlength="241" name="retrieveEmail">
<div class="button-container alignCenter">
<button id="forgot-password" type="submit" class="green button disabled">SEND</button>
</div>
<br class="clearBoth">
</form>POST
<form id="registerForm" class="validate" action="" data-ajax="/rmi/ajax.cfm?temp=2PFSeR2HqV7AU7uK9jH958pyoIX69PNDfx&index=register" method="post" autocomplete="off" novalidate="novalidate">
<!-- Accordion Start -->
<div id="accordion" class="fields ui-accordion ui-widget ui-helper-reset" role="tablist">
<!-- ID Number -->
<div class="accordion-header content ui-accordion-header ui-helper-reset ui-state-default ui-accordion-header-active ui-state-active ui-corner-top ui-accordion-icons" id="f1" role="tab" aria-controls="sf1" aria-selected="true"
aria-expanded="true" tabindex="0"><span class="ui-accordion-header-icon ui-icon ui-icon-triangle-1-s"></span>
<hr>
<h2 class="regFormText GB"> Do you have an IATA number? </h2><br><br>
<span class="edit">✎ EDIT</span>
</div>
<div class="content Steps ui-accordion-content ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active" id="sf1" aria-labelledby="f1" role="tabpanel" aria-hidden="false" style="display: block;">
<div class="radio-buttons content panel eggshell haveNum">
<input type="radio" id="idYes" name="idCheck" value="1" checked="">
<label for="idYes" class="marginRight20">YES</label>
<input type="radio" id="idNo" name="idCheck" value="0">
<label for="idNo">NO</label>
</div>
<!-- Step 1 -->
<fieldset id="verify" class="hide-1">
<label for="inputAgencyIATACode" class="required" aria-required="true">
<input type="hidden" name="pseudoiata" value="IATA"> IATA <strong>*</strong> </label>
<input type="text" class="input" id="inputAgencyIATACode" maxlength="30" name="inputAgencyIATACode"><br>
<div class="alignRight">
<span class="content"> GET YOUR IATA INFO >> </span>
<button type="button" class="green button disabled" id="verify-button" data-ajax="/rmi/ajax.cfm?temp=2PFSeR2HqV7AU7uK9jH958pyoIX69PNDfx&index=getIATA" disabled=""> VERIFY </button>
</div>
</fieldset>
<br class="clearBoth">
<!-- Step 1.5 -->
<fieldset id="load" class="hide-2">
<label for="inputCompanyName">Company name</label>
<input type="text" class="input" id="inputCompanyName" maxlength="96" name="inputCompanyName" readonly="readonly" disabled="disabled">
<div class="alignRight button-container">
<button type="button" class="green button open1" id="load-button">LOAD</button>
</div>
<br class="clearBoth">
</fieldset>
<br class="clearBoth">
</div>
<!-- Step 2 -->
<div class="accordion-header content ui-accordion-header ui-helper-reset ui-state-default ui-corner-all ui-accordion-icons" id="f2" role="tab" aria-controls="sf2" aria-selected="false" aria-expanded="false" tabindex="-1"><span
class="ui-accordion-header-icon ui-icon ui-icon-triangle-1-e"></span>
<hr>
<h2 class="regFormText">Tell us about your agency</h2>
<br><br>
<span class="edit">✎ EDIT</span>
</div>
<fieldset id="sf2" class="content Steps ui-accordion-content ui-helper-reset ui-widget-content ui-corner-bottom" aria-labelledby="f2" role="tabpanel" aria-hidden="true" style="display: none;">
<label for="inputVAT" class=""> VAT Reg No NUMBER </label>
<input type="text" class="input valid" id="inputTaxID" maxlength="20" name="inputTaxID">
<label for="inputAgencyName" class="required" aria-required="true">Agency Name <strong>*</strong> </label>
<input type="text" class="input step2" id="inputAgencyName" maxlength="96" name="inputAgencyName">
<label for="selectAgencyCountry" class="required" aria-required="true">Country <strong>*</strong> </label>
<div class="select-container">
<select class="input step2" id="selectAgencyCountry" name="selectAgencyCountry" data-ajax="/rmi/ajax.cfm?temp=2PFSeR2HqV7AU7uK9jH958pyoIX69PNDfx&index=getStates">
<option></option>
<option value="US">USA</option>
<option value="CA">Canada</option>
<option value="MX">Mexico</option>
<option value="AR">Argentina</option>
<option value="BO">Bolivia</option>
<option value="BR">Brazil</option>
<option value="CL">Chile</option>
<option value="CO">Colombia</option>
<option value="EC">Ecuador</option>
<option value="PE">Peru</option>
<option value="PY">Paraguay</option>
<option value="UY">Uruguay</option>
<option value="VE">Venezuela</option>
<option value="GB">United Kingdom</option>
<option value="DE">Germany</option>
<option value="ES">Spain</option>
<option value="IT">Italy</option>
<option value="BE">Belgium</option>
<option value="NL">Netherlands</option>
</select>
<span class="select-arrow"></span>
</div>
<label for="selectAgencyState" class="required" aria-required="true">State/Province <strong>*</strong> </label>
<div class="select-container">
<select class="input step2" id="selectAgencyState" name="selectAgencyState">
</select>
<span class="select-arrow"></span>
</div>
<label for="inputAgencyCity" class="required" aria-required="true">City <strong>*</strong> </label>
<input type="text" class="input step2" id="inputAgencyCity" maxlength="40" name="inputAgencyCity">
<label for="inputAgencyZipcode" class="required" aria-required="true">Zip/Postal Code <strong>*</strong> </label>
<input type="text" class="input step2" id="inputAgencyZipcode" maxlength="10" name="inputAgencyZipcode">
<label for="inputAgencyAddress" class="required" aria-required="true">Address <strong>*</strong> </label>
<input type="text" class="input step2" id="inputAgencyAddress" maxlength="96" name="inputAgencyAddress">
<label for="inputAgencyPhone" class="required" aria-required="true">Phone Number <strong>*</strong> </label>
<input type="text" class="input step2" id="inputAgencyPhone" maxlength="30" name="inputAgencyPhone">
<label for="inputAgencyEmail">E-mail</label>
<input type="text" class="input step2 valid" id="inputAgencyEmail" maxlength="241" name="inputAgencyEmail">
<label for="inputAgencyURL">Web</label>
<input type="text" class="input step2 valid" id="inputAgencyURL" maxlength="96" name="inputAgencyURL">
<div class="alignRight">
<span class="alert alert-fill-out-form content">Please fill out all required fields</span>
<button type="button" class="green button open2 disabled" id="sf2-button" disabled="">NEXT</button>
</div>
</fieldset>
<br class="clearBoth">
<!-- Step 3 -->
<div class="accordion-header content ui-accordion-header ui-helper-reset ui-state-default ui-corner-all ui-accordion-icons" id="f3" role="tab" aria-controls="sf3" aria-selected="false" aria-expanded="false" tabindex="-1"><span
class="ui-accordion-header-icon ui-icon ui-icon-triangle-1-e"></span>
<hr>
<h2 class="regFormText">Tell us about yourself</h2>
</div>
<fieldset id="sf3" class="content Steps ui-accordion-content ui-helper-reset ui-widget-content ui-corner-bottom" aria-labelledby="f3" role="tabpanel" aria-hidden="true" style="display: none;">
<label for="selectAgentGender" class="required" aria-required="true">Gender <strong>*</strong> </label>
<div class="select-container">
<select class="input" id="selectAgentGender" name="selectAgentGender">
<option></option>
<option value="F">Female</option>
<option value="M">Male</option>
</select>
<span class="select-arrow"></span>
</div>
<label for="selectAgentCountry" class="required" aria-required="true">Country <strong>*</strong> </label>
<div class="select-container">
<select class="input" id="selectAgentCountry" name="selectAgentCountry" data-ajax="/rmi/ajax.cfm?temp=2PFSeR2HqV7AU7uK9jH958pyoIX69PNDfx&index=getStates">
<option></option>
<option value="US">USA</option>
<option value="CA">Canada</option>
<option value="MX">Mexico</option>
<option value="AR">Argentina</option>
<option value="BO">Bolivia</option>
<option value="BR">Brazil</option>
<option value="CL">Chile</option>
<option value="CO">Colombia</option>
<option value="EC">Ecuador</option>
<option value="PE">Peru</option>
<option value="PY">Paraguay</option>
<option value="UY">Uruguay</option>
<option value="VE">Venezuela</option>
<option value="GB">United Kingdom</option>
<option value="DE">Germany</option>
<option value="ES">Spain</option>
<option value="IT">Italy</option>
<option value="BE">Belgium</option>
<option value="NL">Netherlands</option>
</select>
<span class="select-arrow"></span>
</div>
<label for="selectAgentType" class="required" aria-required="true">Describe you and your agency’s business <strong>*</strong> </label>
<div class="select-container">
<select class="input step2" id="selectAgentType" name="selectAgentType" aria-invalid="false">
<option></option>
<option value="1">Retail Store Front Agent</option>
<option value="3">Host Agency</option>
<option value="4">Call Center or Web-Based Agent</option>
<option value="5">Inplant or Corporate Travel Department</option>
<option value="6">Other</option>
<option value="8">Home-Based Agent</option>
<option value="9">Independent Contractor</option>
</select>
<span class="select-arrow"></span>
</div>
<label for="selectAgentState" class="required" aria-required="true">State/Province <strong>*</strong> </label>
<div class="select-container">
<select class="input valid" id="selectAgentState" name="selectAgentState" aria-invalid="false">
</select>
<span class="select-arrow"></span>
</div>
<label for="inputAgentCity" class="required" aria-required="true">City <strong>*</strong> </label>
<input type="text" class="input valid" id="inputAgentCity" maxlength="40" name="inputAgentCity" aria-invalid="false">
<label for="inputAgentZipcode" class="required" aria-required="true">Zip/Postal Code <strong>*</strong> </label>
<input type="text" class="input valid" id="inputAgentZipcode" maxlength="10" name="inputAgentZipcode" aria-invalid="false">
<label for="inputAgentAddress" class="required" aria-required="true">Address <strong>*</strong> </label>
<input type="text" class="input valid" id="inputAgentAddress" maxlength="96" name="inputAgentAddress" aria-invalid="false">
<label for="selectAgentNationality" class="required" aria-required="true">Nationality <strong>*</strong> </label>
<div class="select-container">
<select class="input" id="selectAgentNationality" name="selectAgentNationality">
<option></option>
<option value="1">Afghan</option>
<option value="10">Australian</option>
<option value="100">Kittian and Nevisian</option>
<option value="101">Kuwaiti</option>
<option value="102">Kyrgyz</option>
<option value="103">Laotian</option>
<option value="104">Latvian</option>
<option value="105">Lebanese</option>
<option value="106">Liberian</option>
<option value="107">Libyan</option>
<option value="108">Liechtensteiner</option>
<option value="109">Lithuanian</option>
<option value="11">Austrian</option>
<option value="110">Luxembourger</option>
<option value="111">Macedonian</option>
<option value="112">Malagasy</option>
<option value="113">Malawian</option>
<option value="114">Malaysian</option>
<option value="115">Maldivan</option>
<option value="116">Malian</option>
<option value="117">Maltese</option>
<option value="118">Marshallese</option>
<option value="119">Mauritanian</option>
<option value="12">Azerbaijani</option>
<option value="120">Mauritian</option>
<option value="121">Mexican</option>
<option value="122">Micronesian</option>
<option value="123">Moldovan</option>
<option value="124">Monacan</option>
<option value="125">Mongolian</option>
<option value="126">Moroccan</option>
<option value="127">Mosotho</option>
<option value="128">Motswana</option>
<option value="129">Mozambican</option>
<option value="13">Bahamian</option>
<option value="130">Namibian</option>
<option value="131">Nauruan</option>
<option value="132">Nepalese</option>
<option value="133">Netherlander</option>
<option value="134">New Zealander</option>
<option value="135">Ni-Vanuatu</option>
<option value="136">Nicaraguan</option>
<option value="137">Nigerian</option>
<option value="138">Nigerien</option>
<option value="139">North Korean</option>
<option value="14">Bahraini</option>
<option value="140">Northern Irish</option>
<option value="141">Norwegian</option>
<option value="142">Omani</option>
<option value="143">Pakistani</option>
<option value="144">Palauan</option>
<option value="145">Panamanian</option>
<option value="146">Papua New Guinean</option>
<option value="147">Paraguayan</option>
<option value="148">Peruvian</option>
<option value="149">Polish</option>
<option value="15">Bangladeshi</option>
<option value="150">Portuguese</option>
<option value="151">Qatari</option>
<option value="152">Romanian</option>
<option value="153">Russian</option>
<option value="154">Rwandan</option>
<option value="155">Saint Lucian</option>
<option value="156">Salvadoran</option>
<option value="157">Samoan</option>
<option value="158">San Marinese</option>
<option value="159">Sao Tomean</option>
<option value="16">Barbadian</option>
<option value="160">Saudi</option>
<option value="161">Scottish</option>
<option value="162">Senegalese</option>
<option value="163">Serbian</option>
<option value="164">Seychellois</option>
<option value="165">Sierra Leonean</option>
<option value="166">Singaporean</option>
<option value="167">Slovakian</option>
<option value="168">Slovenian</option>
<option value="169">Solomon Islander</option>
<option value="17">Barbudans</option>
<option value="170">Somali</option>
<option value="171">South African</option>
<option value="172">South Korean</option>
<option value="173">Spanish</option>
<option value="174">Sri Lankan</option>
<option value="175">Sudanese</option>
<option value="176">Surinamer</option>
<option value="177">Swazi</option>
<option value="178">Swedish</option>
<option value="179">Swiss</option>
<option value="18">Batswana</option>
<option value="180">Syrian</option>
<option value="181">Taiwanese</option>
<option value="182">Tajik</option>
<option value="183">Tanzanian</option>
<option value="184">Thai</option>
<option value="185">Togolese</option>
<option value="186">Tongan</option>
<option value="187">Trinidadian or Tobagonian</option>
<option value="188">Tunisian</option>
<option value="189">Turkish</option>
<option value="19">Belarusian</option>
<option value="190">Tuvaluan</option>
<option value="191">Ugandan</option>
<option value="192">Ukrainian</option>
<option value="193">Uruguayan</option>
<option value="194">Uzbekistani</option>
<option value="195">Venezuelan</option>
<option value="196">Vietnamese</option>
<option value="197">Welsh</option>
<option value="198">Welsh</option>
<option value="199">Yemenite</option>
<option value="2">Albanian</option>
<option value="20">Belgian</option>
<option value="200">Zambian</option>
<option value="201">Zimbabwean</option>
<option value="21">Belizean</option>
<option value="22">Beninese</option>
<option value="23">Bhutanese</option>
<option value="24">Bolivian</option>
<option value="25">Bosnian</option>
<option value="26">Brazilian</option>
<option value="27">British</option>
<option value="28">Bruneian</option>
<option value="29">Bulgarian</option>
<option value="3">Algerian</option>
<option value="30">Burkinabe</option>
<option value="31">Burmese</option>
<option value="32">Burundian</option>
<option value="33">Cambodian</option>
<option value="34">Cameroonian</option>
<option value="35">Canadian</option>
<option value="36">Cape Verdean</option>
<option value="37">Central African</option>
<option value="38">Chadian</option>
<option value="39">Chilean</option>
<option value="4">American</option>
<option value="40">Chinese</option>
<option value="41">Colombian</option>
<option value="42">Comoran</option>
<option value="43">Congolese</option>
<option value="44">Congolese</option>
<option value="45">Costa Rican</option>
<option value="46">Croatian</option>
<option value="47">Cuban</option>
<option value="48">Cypriot</option>
<option value="49">Czech</option>
<option value="5">Andorran</option>
<option value="50">Danish</option>
<option value="51">Djibouti</option>
<option value="52">Dominican</option>
<option value="53">Dominican</option>
<option value="54">Dutch</option>
<option value="55">Dutchman</option>
<option value="56">Dutchwoman</option>
<option value="57">East Timorese</option>
<option value="58">Ecuadorean</option>
<option value="59">Egyptian</option>
<option value="6">Angolan</option>
<option value="60">Emirian</option>
<option value="61">Equatorial Guinean</option>
<option value="62">Eritrean</option>
<option value="63">Estonian</option>
<option value="64">Ethiopian</option>
<option value="65">Fijian</option>
<option value="66">Filipino</option>
<option value="67">Finnish</option>
<option value="68">French</option>
<option value="69">Gabonese</option>
<option value="7">Antiguans</option>
<option value="70">Gambian</option>
<option value="71">Georgian</option>
<option value="72">German</option>
<option value="73">Ghanaian</option>
<option value="74">Greek</option>
<option value="75">Grenadian</option>
<option value="76">Guatemalan</option>
<option value="77">Guinea-Bissauan</option>
<option value="78">Guinean</option>
<option value="79">Guyanese</option>
<option value="8">Argentinean</option>
<option value="80">Haitian</option>
<option value="81">Herzegovinian</option>
<option value="82">Honduran</option>
<option value="83">Hungarian</option>
<option value="84">I-Kiribati</option>
<option value="85">Icelander</option>
<option value="86">Indian</option>
<option value="87">Indonesian</option>
<option value="88">Iranian</option>
<option value="89">Iraqi</option>
<option value="9">Armenian</option>
<option value="90">Irish</option>
<option value="91">Irish</option>
<option value="92">Israeli</option>
<option value="93">Italian</option>
<option value="94">Ivorian</option>
<option value="95">Jamaican</option>
<option value="96">Japanese</option>
<option value="97">Jordanian</option>
<option value="98">Kazakhstani</option>
<option value="99">Kenyan</option>
</select>
<span class="select-arrow"></span>
</div>
<label for="inputAgentFirstName" class="required" aria-required="true">First Name <strong>*</strong> </label>
<input type="text" class="input" id="inputAgentFirstName" maxlength="40" name="inputAgentFirstName">
<label for="inputAgentLastName" class="required" aria-required="true">Last Name <strong>*</strong> </label>
<input type="text" class="input" id="inputAgentLastName" maxlength="40" name="inputAgentLastName">
<label for="inputAgentDateOfBirth" class="required" aria-required="true"> Date of Birth (DD/MM/YYYY) <strong>*</strong> </label>
<input type="text" class="input ui-date hasDatepicker" id="inputAgentDateOfBirth" maxlength="10" name="inputAgentDateOfBirth" readonly="readonly">
<label for="inputAgentMobileNumber">Mobile Number</label>
<input type="text" class="input valid" id="inputAgentMobileNumber" maxlength="30" name="inputAgentMobileNumber">
<label for="inputAgentPhoneNumber">Phone Number</label>
<input type="text" class="input valid" id="inputAgentPhoneNumber" maxlength="30" name="inputAgentPhoneNumber">
<label for="inputAgentEmail" class="required with-description" aria-required="true">Your E-mail <strong>*</strong> </label>
<span class="description">(You will receive the activation message to this e-mail address.)</span>
<input type="text" class="input" id="inputAgentEmail" maxlength="241" name="inputAgentEmail">
<label for="inputAgentEmailConfirm" class="required" aria-required="true">Repeat your E-mail <strong>*</strong> </label>
<input type="text" class="input" id="inputAgentEmailConfirm" maxlength="241" name="inputAgentEmailConfirm">
<label for="inputAgentPassword" class="required" aria-required="true">Choose Password <strong>*</strong> </label>
<input type="password" class="input" id="inputAgentPassword" maxlength="11" name="inputAgentPassword" data-policy="Passwords must be at least 8-11 characters, contain at least one lowercase, one uppercase and one digit.">
<label for="inputAgentPasswordConfirm" class="required" aria-required="true">Confirm Password <strong>*</strong> </label>
<input type="password" class="input" id="inputAgentPasswordConfirm" maxlength="11" name="inputAgentPasswordConfirm">
<label for="inputAgentPromotionalCode">Promotional Code</label>
<input type="text" class="input valid" id="inputAgentPromotionalCode" maxlength="10" name="inputAgentPromotionalCode">
<label for="inputIsGM" class="inline">
<input type="checkbox" class="input valid" id="inputIsGM" name="inputIsGM" value="1"> Are you the Owner or Manager responsible for this agency? </label>
<br><br>
<label for="cbReadTermsAndConditions" class="inline">
<input type="checkbox" class="input" id="cbReadTermsAndConditions" name="cbReadTermsAndConditions" value="1"> I agree to register and therefore I accept the
<a href="https://www.corporaterewards.com/rmi/sites/palladium/documents/T%C3%A9rminos%20y%20Condiciones%20Palladium%20Connect_EN%20(%20Canada,%20United%20States,%20United%20Kingdom,%20Belgium,%20Holand).pdf" target="_blank">terms and conditions</a>
and Palladium Connect’s privacy policy. <br><br><br>Your data will be processed by Palladium Gestión S.L. as the data controller, for the purpose of managing the aspects related to the programme “Palladium Connect”, sending commercial
communications offering you products and services that may be of interest to you and managing contact requests. The legitimate basis is your consent and the execution of a contract to which the data subject is party. Your data shall not be
disclosed to third parties unless there is a legal obligation to do so. You can exercise your rights of access, correction, erasure and other rights that apply in accordance with the provisions of our privacy policy. </label>
<br><br>
<label for="cbSubscribe" class="inline">
<input type="checkbox" class="input valid" id="cbSubscribe" name="cbSubscribe" value="1"> I would like to receive info about 'Palladium Connect' </label>
<br><br>
<div class="alignCenter button-container">
<span class="alert alert-fill-out-form content"> Please fill out all required fields </span>
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* EN * English * Español * Português * Deutsch * Italiano WELCOME TO PALLADIUM CONNECT SIGN UP AND EARN MONEY ON ALL BOOKINGS IN MINUTES CREATED AND DESIGNED ESPECIALLY FOR YOU, OUR MOST LOYAL PARTNERS. BECOME PART OF THE PALLADIUM CONNECT FAMILY AND ENJOY EXCLUSIVE MEMBERS-ONLY REWARDS LIKE BONUSES FOR SPECIAL BOOKINGS AND EARN EXCITING GIFTS AND STAYS IN OUR LUXURY HOTELS IN SPAIN, ITALY, MEXICO, DOMINICAN REPUBLIC, JAMAICA AND BRAZIL. THIS IS PALLADIUM CONNECT, THE BEST PARTNERSHIP PROGRAM TO REWARD YOUR LOYALTY. REGISTER TO BEGIN RECEIVING YOUR REWARDS TODAY! Login Register Your E-mail address * Your Password * Login Forgot your Password No account yet? Please enter and send your email address We will automatically generate and new password for you and will send it to your email address Registered E-mail * SEND REGISTER A NEW ACCOUNT IN 3 EASY STEPS -------------------------------------------------------------------------------- DO YOU HAVE AN IATA NUMBER? ✎ EDIT YES NO IATA * GET YOUR IATA INFO >> VERIFY Company name LOAD -------------------------------------------------------------------------------- TELL US ABOUT YOUR AGENCY ✎ EDIT VAT Reg No NUMBER Agency Name * Country * USA Canada Mexico Argentina Bolivia Brazil Chile Colombia Ecuador Peru Paraguay Uruguay Venezuela United Kingdom Germany Spain Italy Belgium Netherlands State/Province * City * Zip/Postal Code * Address * Phone Number * E-mail Web Please fill out all required fields NEXT -------------------------------------------------------------------------------- TELL US ABOUT YOURSELF Gender * Female Male Country * USA Canada Mexico Argentina Bolivia Brazil Chile Colombia Ecuador Peru Paraguay Uruguay Venezuela United Kingdom Germany Spain Italy Belgium Netherlands Describe you and your agency’s business * Retail Store Front Agent Host Agency Call Center or Web-Based Agent Inplant or Corporate Travel Department Other Home-Based Agent Independent Contractor State/Province * City * Zip/Postal Code * Address * Nationality * Afghan Australian Kittian and Nevisian Kuwaiti Kyrgyz Laotian Latvian Lebanese Liberian Libyan Liechtensteiner Lithuanian Austrian Luxembourger Macedonian Malagasy Malawian Malaysian Maldivan Malian Maltese Marshallese Mauritanian Azerbaijani Mauritian Mexican Micronesian Moldovan Monacan Mongolian Moroccan Mosotho Motswana Mozambican Bahamian Namibian Nauruan Nepalese Netherlander New Zealander Ni-Vanuatu Nicaraguan Nigerian Nigerien North Korean Bahraini Northern Irish Norwegian Omani Pakistani Palauan Panamanian Papua New Guinean Paraguayan Peruvian Polish Bangladeshi Portuguese Qatari Romanian Russian Rwandan Saint Lucian Salvadoran Samoan San Marinese Sao Tomean Barbadian Saudi Scottish Senegalese Serbian Seychellois Sierra Leonean Singaporean Slovakian Slovenian Solomon Islander Barbudans Somali South African South Korean Spanish Sri Lankan Sudanese Surinamer Swazi Swedish Swiss Batswana Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidadian or Tobagonian Tunisian Turkish Belarusian Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Welsh Welsh Yemenite Albanian Belgian Zambian Zimbabwean Belizean Beninese Bhutanese Bolivian Bosnian Brazilian British Bruneian Bulgarian Algerian Burkinabe Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Central African Chadian Chilean American Chinese Colombian Comoran Congolese Congolese Costa Rican Croatian Cuban Cypriot Czech Andorran Danish Djibouti Dominican Dominican Dutch Dutchman Dutchwoman East Timorese Ecuadorean Egyptian Angolan Emirian Equatorial Guinean Eritrean Estonian Ethiopian Fijian Filipino Finnish French Gabonese Antiguans Gambian Georgian German Ghanaian Greek Grenadian Guatemalan Guinea-Bissauan Guinean Guyanese Argentinean Haitian Herzegovinian Honduran Hungarian I-Kiribati Icelander Indian Indonesian Iranian Iraqi Armenian Irish Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakhstani Kenyan First Name * Last Name * Date of Birth (DD/MM/YYYY) * Mobile Number Phone Number Your E-mail * (You will receive the activation message to this e-mail address.) Repeat your E-mail * Choose Password * Confirm Password * Promotional Code Are you the Owner or Manager responsible for this agency? I agree to register and therefore I accept the terms and conditions and Palladium Connect’s privacy policy. Your data will be processed by Palladium Gestión S.L. as the data controller, for the purpose of managing the aspects related to the programme “Palladium Connect”, sending commercial communications offering you products and services that may be of interest to you and managing contact requests. The legitimate basis is your consent and the execution of a contract to which the data subject is party. Your data shall not be disclosed to third parties unless there is a legal obligation to do so. You can exercise your rights of access, correction, erasure and other rights that apply in accordance with the provisions of our privacy policy. I would like to receive info about 'Palladium Connect' Please fill out all required fields Register REWARDS Be rewarded for your efforts in recommending and selling Palladium Hotel Group. PRACTICAL INFO Get complete access to information about Palladium Hotel Group directly on our web. LEARN MORE Earn more and become a Palladium Ambassador with our Pro-Learning Program. Facebook Twitter Google + © 2023 Palladium Hotel Group, Ibiza, Spain Processing