icom

				Bank Accounts, Cheques, Credit Cards

USA Dollars		Euros		Swiss Francs		Bank Cheques		Credit Cards

				USA Dollars

				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):CH58 0027 9279 1060 64M1 Z

				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):CH58 0027 9279 1060 64M1 Z

				Euros

				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) in Euro: CH58 0027 9279 1060 64M2 W

				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: 91-365378-1 IBAN: CH72 0900 0000 9136 5378 1

				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: 57 229 012 IBAN: DE94 3706 0193 0057 2290 12

				Swiss Francs

				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 M1Z IBAN: CH58 0027 9279 1060 64M1 Z

				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: 12-718425-7 IBAN: CH14 0900 0000 1271 8425 7

				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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