Coach register Application Form

For a one-off registration fee of € 20.00 and an annual fee of just € 50.00 per annum you can appear on the International Coach Register, but there are a number of payment options available to you :-

Please select the payment option which suits you best :-	Reqd?
Three year fixed price. This is the most cost effective. Pay now by Credit or Debit Card, and WorldPay will remember your card details for your subsequent renewal. After the initial payment has gone through, usually in twenty-four hours, you can cancel the subsequent renewals if you so wish. Three year cost :- € 138.75
Two year fixed price. Pay now by Credit or Debit Card, and WorldPay will remember your card details for your subsequent renewal. After the initial payment has gone through, usually in twenty-four hours, you can cancel the subsequent renewals if you so wish. Two year cost :- € 95.00
Annually. Pay now by Credit or Debit Card, and WorldPay will remember your card details for your subsequent renewal. After the initial payment has gone through, usually in twenty-four hours, you can cancel the subsequent renewals if you so wish. Annual cost :- € 50.00
Half Yearly. Pay now by Credit or Debit Card, and WorldPay will remember your card details for your subsequent renewal. After the initial payment has gone through, usually in twenty-four hours, you can cancel the subsequent renewals if you so wish. Half Yearly cost :- € 26.30
Quarterly. Pay now by Credit or Debit Card, and WorldPay will remember your card details for your subsequent renewal. After the initial payment has gone through, usually in twenty-four hours, you can cancel the subsequent renewals if you so wish. Quarterly cost :- € 12.90

Naturally, these rates are subject to review, but you will be sent advance notice if we have found it neccessary to review the rates.

Convert currency using The XE.com Universal Currency Converter

You are able to make a secure online payment via WorldPay. Once you've completed the form and clicked on the "Submit" button, you will be taken, via a confirmation stage, to WorldPay's secure payment gateway page, where you can safely enter your card details. WorldPay will process your payment within Twenty Four hours, and then you will have access into our Register maintenance area, so you can enter your details or others to view.

Fields marked with an asterisk * are required fields.

Title: *

First name: *

Initial:

Surname: *

Address: *

Post Code / Zip Code: *

Country: *

Tel: (including code)

Fax: (including code)

Mobile: (including code)

E-mail: * (this is your Register Maintenance area login e-mail address)

Occupation: *

How did you find out about the International Coach Register?

Please explain your selection of "Other", as to how you found out about the ICR:

Create an ICR Register Password: *

Would you like to opt-in to the ECI mailing list? *

Yes
No

Once you click on the "Submit" button, you will be taken to a confirmation page. Please make yourself aware of the ECI's Refunds Policy.