ICAM Business Application Form

To best evaluate your company, please complete the following application. An ICAM representative will then contact you shortly to further discuss the corresponding ICAM Business Partner agreement.

* Required in order to process this Form

Company Name:(*)

Company Information

Address(*)

Company Information

City(*)

Company Information

Province

Company Information

ZIP(*)

Company Information

Country(*)

Company Information

website

Company Information

First Name(*)

Contact Person

Last Name(*)

Contact Person

Phone(*)

Contact Person

E-mail(*)

Contact Person

Year of Establishment:

Company Profile

Number of Employees:

Company Profile

Office Location 1(*)

Office Locations:

Office Location 2

Office Locations:

Select your Focus Industries(*)

Aerospace

Automotive/ Transportation

Mold & Die

Industrial Equipment

Other

Select your Focus Industries

Indicate your Main Customers(*)

1. 2. 3.

Product & Services Details(*)

Describe the functionality of your Product(s) and/ or Service capabilities

Partnership Value(*)

Describe why you potentially want to partner with ICAM? What is your value proposition to the end-user and what are the proposed benefits for you and ICAM?

Other Alliances and Partnerships

Please list all other partnerships or relationships you currently have in place. Company Name, Type of Relationship, How did you find us?

Comments

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ICAM Business Application Form