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Use the form below to apply for ICA arbitration

Fields marked with an * are required

Arbitration Type

Select the type of arbitration: *

Are you a member of the ICA: *

Your Details

Your Title *

First Name *

Family Name / Surname *

Company *

Job Title *

Contact No. *

Email *

Your Bank Details Copy

Is this bank in United States, Canada, Australia, New Zealand or China?

Bank Account Number *

Sort Code *

Bank Account Name *

SWIFT Code *

IBAN Number *

Bank Name and Address *