New Customer Application
Preferred IC Plus Account Manager
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Authorisation to agree
I confirm I am authorised to agree Terms & Conditions of Trade on behalf of my company and am an authorised signatory
Full Registration Name of your company
Trading Name (if different)
Registered Office Address
Trading Address (if different)
Select an option
Limited Liability Partnership
Public Limited Company
Email Address for Invoices
Please provide the below information about your company.
Number of Employees
Type of Application
Cleared Funds Application
Currency Required on Account:
€ - Euro
£ - GBP (Sterling)
Credit Amount Required
If a credit facility is required please fill in the required limit below:
Setup Credit Account with Direct Debit?
Please provide 2 trade references where you have credit facilities.
IC Plus will use this information to contact and verify credit application.
1: Company Name
1: Contact Name
1: Contact Email or Phone
2: Company Name
2: Contact Name
2: Contact Email or Phone
To verify the identity of the application we need the following verification's:
1: Utility Bill to Confirm Address
2: Company Letter
Please upload both of the above below.
Address Verification Upload
Send me a copy of my responses
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