ICU Barter & Trade ExchangeRegistration |
All applicable fields and questions MUST be completed for your application to be valid.
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Register with ICU for free trial membership |
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Name: |
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Company: |
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Email Address: |
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Your website Address: |
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Name of your website: |
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If you do not have a website, would you like us to create one for you? | |
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Comments: |
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Membership type requested: |
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| Address: | |
City: |
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| State/Province: | |
| Zip/Postal Code: | |
| Country: |
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| Phone: | |
| Fax: | |
| How did you hear about ICU? | |
| List other Barter Exchanges/companies you have agreements with: | |
| Countries you currently export to: | |
| List your "Available" products/services including price in trade: | |
| Choose catagory of listing: | |
| List products/services
you want to receive |
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| Choose catagory of listing: | |
I request to subscribe to the administrative services of ICU and to participate in the ICU Barter & Trade Exchange, which is an association of businesses that barter their goods and services. I agree on behalf of my company, myself and all authorized signators to comply with all the terms in the rules and any amendments thereto. I understand that ICU may conduct routine credit checks when deemed necessary, and that information gathered will be held strictly confidential. I have provided all information accurately, in good faith, and to the best of my knowledge. |
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| Click on the button to submit the form. | |
| Created by barter@totally-unique.com Copyright © 1996, Totally Unique, Inc. All Rights Reserved. |
| Last Modified 12/16/96 |