ICC global application form

Company name

Address

Postcode

Email address

Contact Person

Contact number

Fax number

Company Registration number

Year Est

Credit Amount required

Company VAT number

Nature of business

Hours of business

References

Bank Name and Address

Sort Code

Account number

Name and address of two current suppliers with credit facilities.

Supplier 1

Telephone

Email

Supplier 2

Telephone

Email

Invoices will be issued on a weekly/monthly basis and our payment terms are strictly 14 days from invoice date.

Authorisation

Application date


Your name


Position