icom

				Bank Accounts, Cheques, Credit Cards

USA Dollars - US$		Euros - €		Swiss Francs - CHF		Bank Cheques		Credit Cards

				USA Dollars - US$

				In Switzerland Name of the account holder: ICOM Name of the Bank: Post Finance, 1202 Geneva, Switzerland Swift Code or BIC: POFICHBE Account number: 12-872869-3 IBAN: CH57 0900 0000 1287 2869 3

				In Switzerland Name of the account holder: ICOM Name of the Bank: UBS SA, Case Postale, 1211 Genève 2, Switzerland Swift Code or BIC: UBSWCHZH80A Account number (IBAN):CH42 0027 9279 1060 64M3 Q

				In USA Name of the account holder: ICOM Name of the Bank: UBS AG STAMFORD 677 Washington Boulvard, Stamford, Connecticut 06912-0305, USA Swift Code or BIC: UBSWUS33 ABA 026 007 993 Bank Code: 21113141 Account number (IBAN):CH42 0027 9279 1060 64M3 Q

				Euros - €

				In Switzerland Name of the account holder: ICOM Name of the Bank: Post Finance, 1202 Geneva, Switzerland Swift Code or BIC: POFICHBE Account number in Euro: 91-816698-4 IBAN: CH35 0900 0000 9181 6698 4

				In Germany Name of the account holder: ICOM Name of the Bank: Pax-Bank, Von-Werth-Strasse 25-27, 50670 Köln, Germany Swift Code or BIC: GENODED1PAX BLZ: 370 601 93 Account number in Euro: 57 229 039 IBAN: DE44 3706 0193 0057 2290 39

				Swiss Francs - CHF

				In Switzerland Name of the account holder: ICOM Name of the Bank: Post Finance, 1202 Geneva, Switzerland Swift Code or BIC: POFICHBE Account number in CHF: 12-872869-3 IBAN: CH57 0900 0000 1287 2869 3

				In Switzerland Name of the account holder: ICOM Name of the Bank: UBS SA, Case Postale, 1211 Genève 2, Switzerland Swift Code or BIC: UBSWCHZH80A Account number in CHF: 279-106 064 M3Q IBAN:CH42 0027 9279 1060 64M3 Q

				Bank Cheques

				Please send a bank cheque in favour of ICOM (please add Euro 25 or equivalent for bank charges).

				Credit Cards

Please copy, complete and send this form to ICOM, CP 197, 1211 Genève 20, Switzerland.

[ ] Please charge the sum of . . . . . . . . . to my credit card [ ] Visa, [ ] Euro/Master Card, [ ] American Express (Credit card charges are made in Swiss francs, Euros or US dollars with plus 7% for bank charges.)

Credit card number:
Card holder’s name:
Card holder’s address given to credit card:
Security number (CVV2) in the signature field:
Expires (date):
Signature:

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