Membership Application
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Existing Login ID/Email :
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Existing Password:
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Create Your Login
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Password (Min 6 Chars):
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Password length should be between 6-16 characters
Confirm Password:
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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:
Capt
Dr
Hon.
Lady
Master
Miss
Mr
Mrs
Ms
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Rev
Sir
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First Name(s):
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Surname:
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Home Address
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(UK Only)
Street name:
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(Please include house number)
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Aberdeenshire
Anglesey
Argyll
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Berkshire
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Hampshire
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Isle of Man
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Monmouth
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SPAIN
Staffordshire
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Suffolk
Surrey
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Tyne & Wear
Tyrone
Vale of Glamorgan
Warwickshire
Wessex
West Lothian
West Midlands
West Sussex
West Yorkshire
Wiltshire
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Home Country:
ABU DHABI
ANGOLA
ANGUILLA
ANTIGUA
Argentina
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELGIUM
BERMUDA
BOTSWANA
BRAZIL
BRITISH VIRGIN ISLANDS
BRUNEI DARUSSALAM
BULGARIA
CAMEROON
CANADA
CANARY ISLANDS
CAYMAN ISLANDS
CHILE
CHINA
COLOMBIA
COSTA RICA
COTE D'IVOIRE
CYPRUS
CZECH REPUBLIC
DENMARK
DOMINICA
DOMINICAN REPUBLIC
DUBAI
EGYPT
ESTONIA
ETHIOPIA
Falkland Islands
FIJI
FINLAND
FRANCE
GAMBIA
GERMANY
GHANA
GIBRALTAR
GREECE
GRENADA
Guernsey
GUYANA
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
ISRAEL
ITALY
JAMAICA
JAPAN
Jersey
JORDAN
KENYA
KIRIBATI
KOREA, SOUTH, REP OF
KUWAIT
LATVIA
LEBANON
LITHUANIA
LUXEMBOURG
Madagascar
MALAWI
MALAYSIA
MALDIVES
MALTA
MAURITIUS
MEXICO
MONACO
NETHERLANDS
NEW ZEALAND
NIGERIA
NIGERIA
NORTHERN IRELAND
NORWAY
OMAN
PAKISTAN
PHILIPPINES
POLAND
PORTUGAL
QATAR
REPUBLIC OF IRELAND
ROMANIA
RUSSIA
SAUDI ARABIA
SENEGAL
SERBIA
Seychelles
SIERRA LEONE
SINGAPORE
SLOVAK REPUBLIC (SLOVAKIA)
SLOVENIA
SOLOMON ISLANDS
SOUTH AFRICA
SOUTH AFRICA
SPAIN
SRI LANKA
ST KITTS & NEVIS
ST LUCIA
ST VINCENT & THE GRENADINES
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TANZANIA
THAILAND
TRINIDAD & TOBAGO
TURKEY
UGANDA
UK
UKRAINE
UNITED ARAB EMIRATES
USA
VENEZUELA
VIETNAM
YEMEN
ZAMBIA
ZIMBABWE
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:
Please Select
Aberdeenshire
Anglesey
Argyll
Avon
Ayrshire
Bedfordshire
Berkshire
Berwickshire
Bridgend
Buckinghamshire
Cambridgeshire
Carmarthenshire
Ceredigion
Cheshire
Clackmannanshire
Cleveland
Co Tyrone
Co Waterford
Co. Clare
CO. KILDARE
Co. Laois
Co. Tyrone
Conwy
Cornwall
County Antrim
County Armagh
County Cork
County Derry
County Donegal
County Down
County Dublin
County Durham
County Fermanagh
County Leitrim
County Limerick
County Londonderry
County Mayo
County Tipperary
County Wexford
County Wicklow
Cumbria
Denbighshire
Derbyshire
Devon
Dorset
Dumfriesshire
Durham
East Dunbartonshire
East Lothian
East Renfrewshire
East Riding of Yorkshire
East Sussex
Essex
Fife
Flintshire
Glamorgan
Gloucestershire
Greater London
Greater Manchester
Gwent
Hampshire
Herefordshire
Hertfordshire
Isle of Man
Isle of Wight
Jersey
Kent
Lanarkshire
Lancashire
Leicestershire
Lincolnshire
Merseyside
Mid Glamorgan
Middlesex
Midlothian
Monmouth
Neath
Norfolk
North Humberside
North Yorkshire
Northamptonshire
Northumberland
Nottinghamshire
Oxfordshire
Pembrokeshire
Perthshire
Poland
Powys
Renfrewshire
Rutland
Shropshire
Snowdonia
Somerset
South Wirral
South Yorkshire
SPAIN
Staffordshire
Stirlingshire
Suffolk
Surrey
Sussex
Tyne & Wear
Tyrone
Vale of Glamorgan
Warwickshire
Wessex
West Lothian
West Midlands
West Sussex
West Yorkshire
Wiltshire
Worcestershire
Company Country:
Please Select
ABU DHABI
ANGOLA
ANGUILLA
ANTIGUA
Argentina
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELGIUM
BERMUDA
BOTSWANA
BRAZIL
BRITISH VIRGIN ISLANDS
BRUNEI DARUSSALAM
BULGARIA
CAMEROON
CANADA
CANARY ISLANDS
CAYMAN ISLANDS
CHILE
CHINA
COLOMBIA
COSTA RICA
COTE D'IVOIRE
CYPRUS
CZECH REPUBLIC
DENMARK
DOMINICA
DOMINICAN REPUBLIC
DUBAI
EGYPT
ESTONIA
ETHIOPIA
Falkland Islands
FIJI
FINLAND
FRANCE
GAMBIA
GERMANY
GHANA
GIBRALTAR
GREECE
GRENADA
Guernsey
GUYANA
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
ISRAEL
ITALY
JAMAICA
JAPAN
Jersey
JORDAN
KENYA
KIRIBATI
KOREA, SOUTH, REP OF
KUWAIT
LATVIA
LEBANON
LITHUANIA
LUXEMBOURG
Madagascar
MALAWI
MALAYSIA
MALDIVES
MALTA
MAURITIUS
MEXICO
MONACO
NETHERLANDS
NEW ZEALAND
NIGERIA
NIGERIA
NORTHERN IRELAND
NORWAY
OMAN
PAKISTAN
PHILIPPINES
POLAND
PORTUGAL
QATAR
REPUBLIC OF IRELAND
ROMANIA
RUSSIA
SAUDI ARABIA
SENEGAL
SERBIA
Seychelles
SIERRA LEONE
SINGAPORE
SLOVAK REPUBLIC (SLOVAKIA)
SLOVENIA
SOLOMON ISLANDS
SOUTH AFRICA
SOUTH AFRICA
SPAIN
SRI LANKA
ST KITTS & NEVIS
ST LUCIA
ST VINCENT & THE GRENADINES
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TANZANIA
THAILAND
TRINIDAD & TOBAGO
TURKEY
UGANDA
UK
UKRAINE
UNITED ARAB EMIRATES
USA
VENEZUELA
VIETNAM
YEMEN
ZAMBIA
ZIMBABWE
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 Description
Rate
Registration Fee
Affiliate
£
102.00
£
60.00
Affiliate
£
102.00
£
60.00
Affiliate
£
102.00
£
55.00
Studying Member
£
62.00
£
Studying Member
£
60.00
£
Affiliate
£
100.00
£
60.00
Affiliate
£
100.00
£
60.00
Affiliate
£
100.00
£
55.00
Affiliate
£
98.00
£
60.00
Affiliate
£
98.00
£
60.00
Affiliate
£
98.00
£
55.00
Studying Member
£
58.00
£
Studying Member
£
57.00
£
Affiliate
£
95.00
£
60.00
Affiliate
£
95.00
£
60.00
Affiliate
£
95.00
£
55.00
Affiliate
£
67.00
£
60.00
Affiliate
£
67.00
£
60.00
Affiliate
£
67.00
£
55.00
Studying Member
£
67.00
£
International Affiliate
£
59.00
£
International Affiliate
£
59.00
£
Affiliate
£
66.00
£
60.00
Affiliate
£
66.00
£
60.00
Affiliate
£
66.00
£
55.00
International Affiliate
£
65.00
£
Affiliate
£
65.00
£
60.00
Affiliate
£
65.00
£
60.00
Affiliate
£
65.00
£
55.00
Affiliate
£
60.00
£
60.00
Affiliate
£
60.00
£
60.00
Affiliate
£
60.00
£
55.00
International Affiliate
£
54.00
£
Affiliate
£
58.00
£
60.00
Affiliate
£
58.00
£
60.00
Affiliate
£
58.00
£
55.00
Affiliate
£
55.00
£
60.00
Affiliate
£
55.00
£
60.00
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.
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