Become a Partner

Customer Information form

The business activity of ICOS S.p.A. is aimed exclusively at operators engaged in the resale of IT products and services.

To apply for the registration of your company as a customer, you must fill out the form below and upload your Company Registration Certificate issued no more than six months prior to the date of this application.

Some information is mandatory to execute correctly the processes involved in the business relationship, other will allow us to make it easier to provide you with all the support you need to be successful. We will be grateful if you’ll take some time to provide as much info as you can.

PLEASE NOTE: Failure to complete this information form will not allow ICOS to process any orders placed by unregistered customers.

(Fields marked with * are mandatory).

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Section A: Company data

1. Primary office

Include country prefix (e.g. IT01031270380 ). If VAT number is not available please enter N/A
If not available please enter N/A
If not available please enter N/A

2. Secondary Office

Multiple choices

Bank information

Please enter the name of your bank
Code or number identifying your bank's agency
Please enter your International Bank Account Number (IBAN)

Contacts

Please enter as many contacts as possible (admin/finance contact is mandatory). In case the same contact is responsible for different functions, please repeat his/her details in the appropriate fields.

Other Company info

Type-in the year or use the arrows
Please enter the value in Euro (€)
Please select the range you fall in.

Section B: Company profile

Multiple choice
Substitute the placeholder with a numeric value without the % symbol
Please enter the first 3 brands in order of relevance, one per field.
Multiple choice
Multiple Choice
Multiple choice

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