ICC Contact Form Inquiry
Please complete below if you are interested in becoming an ICC Certified Flooring Retailer:
Type of Contact
Contact Type
Retailer
Cabinetry Re-finisher
General Contractor - Head Office
General Contractor - Contact
Independent Adjuster - Head Office
Independent Adjuster - Contact
Insurance Company Head Office
Staff Adjuster
Contact Details
Company Name
Valid Company name is required.
First name
Valid first name is required.
Last name
Valid last name is required.
Title
Valid first name is required.
Email
Phone
Fax
(Optional)
Address
Please enter your shipping address.
Address 2
(Optional)
Province
AB
BC
MB
NB
NL
NS
NU
NWT
NY
ON
PEI
QC
SK
YK
Please provide a valid Province.
City
Please select a valid City.
Postal Code
Postal code required.
Do you have multiple locations?
Type in other city/prov of your other location(s)
Notes for ICC
Submit
