Membership Application
 
Simply fill in the form below and submit your details to apply now!
 
Existing Login ID/Email :   *
Existing Password:   *
Create Your Login  ( * Denotes Required Fields)
Login Email:  *
Password (Min 6 Chars):  *
Password length should be between 6-16 characters
Confirm Password:  *
When you are accepted as a Member, the ICM will issue you with a Membership Number to 
use with the Password you have chosen here. In the meantime these Log In and Password 
details can be used to access other ICM services, for example  the bookshop or training 
seminars. Please therefore remember your log in details.
Personal Information ( * Denotes Required Fields)
Title:  *
If other please specify:
First Name(s):  *
Surname:  *
Date of Birth:
Home Address
 
Home Postcode:  * 
Find Address  Help(UK Only)
Street name:  *
(Please include house number)
City:
Town: 
County:
Home Country:
Home Telephone:
Mobile Telephone:
Home Fax:
Home Email:  
 (an email address is required for Membership Application – enter
EITHER home email address here, or work email address below)
Company Information
 
Job Title:
Postcode:  
(Mandatory for UK only)
Find Address
Company Name:  
Street name:  
(include house name/number)
City: 
Town:
County:
Company Country:
Company telephone (including extension) :
Direct telephone number (including ext if required):
Company Fax:
Direct Email: *
(an email address is required for Membership Application – enter
EITHER work email address here, or home email address above)
Correspondence to be sent to:   Home Work  
Member Grade:
 Membership Rate DescriptionRate Registration Fee
Affiliate £ 100.00 £ 60.00
Affiliate £ 100.00 £ 55.00
Affiliate £ 100.00 £ 55.00
Studying Member £ 60.00 £ 
Studying Member £ 58.00 £ 
Affiliate £ 98.00 £ 60.00
Affiliate £ 98.00 £ 55.00
Affiliate £ 98.00 £ 55.00
Affiliate £ 95.00 £ 60.00
Affiliate £ 95.00 £ 55.00
Affiliate £ 95.00 £ 55.00
Studying Member £ 57.00 £ 
Studying Member £ 67.00 £ 
International Affiliate £ 59.00 £ 
Affiliate £ 67.00 £ 60.00
Affiliate £ 67.00 £ 55.00
Affiliate £ 67.00 £ 55.00
Affiliate £ 66.00 £ 60.00
Affiliate £ 66.00 £ 55.00
Affiliate £ 66.00 £ 55.00
International Affiliate £ 59.00 £ 
Affiliate £ 65.00 £ 60.00
Affiliate £ 65.00 £ 55.00
Affiliate £ 65.00 £ 55.00
International Affiliate £ 65.00 £ 
International Affiliate £ 54.00 £ 
Affiliate £ 60.00 £ 60.00
Affiliate £ 60.00 £ 55.00
Affiliate £ 60.00 £ 55.00
Affiliate £ 58.00 £ 60.00
Affiliate £ 58.00 £ 55.00
Affiliate £ 58.00 £ 55.00
Affiliate £ 55.00 £ 60.00
Affiliate £ 55.00 £ 55.00
Affiliate £ 55.00 £ 55.00
International Affiliates enter the name of your professional Credit Management organisation and membership number
Do you intend to study?   Yes No  
Where did you hear about ICM?
 Please tick this box if you require a receipt
Declaration:
By clicking 'Submit' you will be certifying that the statements you have made in this application are correct to the best of your knowledge and belief; and that you agree to the current and future rules of The ICM as they apply to such transactions. If you have any queries, please contact 01780 722903 or email membership@icm.org.uk. 
 
   



No organisation exists against this postcode.Please click 'Create New Organisation'button to create new organisation.No address exists against this postcode. Please click 'Close' button .