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