SUPPLIER REGISTRATION

Are you a Supplier of products or services?

ICN provides an introduction to projects/customers which can achieve:

• Australian and overseas project exposure
• Enhancement of capabilities from more opportunities
• Joint venture and licensing opportunities
• Access to local and global supply chains

ORGANISATION INFORMATION
Company Name :
Street Address :		Postal Address :
City / Town :		Phone :
Fax :		Email :
NATURE OF BUSINESS
Manufacturing Contracting Distributor/Manufacturing Rep Engineering/Designing Original Equipment Maker Other If Other please specify :
CONTACT INFORMATION
Contact Name :		Title :
Mobile :		Email :
Parent Company :
Subsidiary Companies:
Product / Trade Names :
EMPLOYEE NUMBERS
Admin Tech Trade Admin
TOTAL EMPLOYEES
Annual Turnover: Less than 1/2 million 1/2 - 2 Million 2 - 10 Million Over 10 Million
Quality Control Systems:
Scope of Activities / Service provided:
Products manufactured in Australia and New Zealand or Services provided:
Major Plant, Equipment and Facilities: (include any unique facilities or processes)
Major Contracts:
Licence Agreements : Export to (Countries) : Import from (Countries) : Future Interests : Completed By: Title :     Verification Code :