New Accounts Registration

Basic Information
Activity Information
Account Details
Legal Business Name *
This will be used for invoicing.
Commercial Business Name (DBA)
The name you use with your customers.
Full Address *
Main Phone Number *
Contact Person *
Role *
Website Address
Business Type *
Tax Number *
Storefront Photo
Maximum file size: 1 MB
Years Active *
For how long have you been in business?
Employee No.
Owner(s) included
What kind of products are you currently selling? *
What sort of products are you interested in?
In which brands are you interested?
Email Address *
Please enter an email address to which we can send your initial password.
Username (Optional)
This will be used as your login for the website, if available. If not, we'll use something similar.
Confirm Email Address *
Please re-enter your email address.

By submitting this form I hereby declare that I have the authority to sign up as the business, and also agree to the terms and conditions of this website. I understand that submitting this form does not automatically entitle me to an account and that it is solely up to International Collectibles ltd to consider my application.