U.S Employer Identification Number(EIN) or U.S. Tax Payer Identification Number (TIN) ie NN-NNNNNNN (enter 00-0000000 if you are an individual) *
Your answer
If an individual enter the last 4 digits of SSN Else enter 0000 (we will also need a CV/resume) *
Your answer
Company Name (as it appears on your W-9 or W-8BEN-E) *
Your answer
DBA if different than above
Your answer
Mailing address *
Your answer
City *
Your answer
State *
Choose
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
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OK
OR
PA
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RI
SC
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TX
UT
VT
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WA
WV
WI
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Other
State-Other
Your answer
Zip Code *
Your answer
Country *
Phone Number Please input the number without any spaces or characters (ex. 2121111111) *
Your answer
Contact Name *
Your answer
Contact E-mail *
Your answer
Year in Business *
Your answer
Goods or Services Offered (Each operator can register in up to 3 macro-sectors)
I understand that this application must now be completed by sending to ICE Houston (houston@ice.it)
via email the following documents/requirements: 1_ Form W-9; 2_ Business Declaration Form filled out and signed
PLEASE NOTE: If the above-mentioned documentation will not be sent by 30 days from the registration, the vendor will be removed from our list.
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