ICX Corporate Membership Form

    CORPORATE MEMBERSHIP APPLICATION FORM (PLEASE TYPE IN)

    APPLICANT INFORMATION

    Details for Key Contact Person in the Organization

    MEMBERSHIP CATEGORY & FEES(Tick as Appropriate:)

    • Joining Fee: KES 55,000
    • Annual Subscription: KES 45,000

    PAYMENT METHOD (HIGHLIGHT AS APPLICABLE)

    PAYMENT DETAILS


    1. All payments by cheque should be written to the Institute of Customer Service Kenya Limited.
    2. Direct transfers should be made to : Institute of Customer Service Kenya Limited , DTB ,
    Wabera Street Branch , Account Number: 0243424001 Bank Code :063
    3. Lipa Na M-PESA: Till Number: 880879
    4. Membership Certificate will be issued 2 weeks from date of payment.
    5. Membership certificate is renewable annually

    COMMITTMENT

    We wish to apply for corporate membership of ICX Kenya and undertake to promote its aims and
    objectives, and abide by its rules and regulations.


    FOR OFFICIAL USE ONLY