Management

Capabilities

Transactions

Registration Form

« back to ICON Securities

Qualified registered representatives are entitled to receive a username and password for access to the secured "Broker/Dealer Area". To request access, please complete the registration form below in its entirety prior to submission. The information provided will be reviewed and validated. Upon approval, a password will be administered and forwarded to you via email. This login information is not transferable and any unauthorized access is strictly prohibited. Non-registered representatives should direct all inquiries to the Investor Relations Department.

Thank you for your interest. Please feel free to inform us of how this area can be improved to meet your needs.

Account Information

*Username:

Your full name or your preferred username; only letters, numbers and spaces are allowed.

*Email Address:

Instructions will be sent to this e-mail address, so make sure it is accurate.

*Password:

At least 4 characters. If you leave it blank, you will be assigned a random password.

*Verify Password:

 

User Information

*First Name:

*Last Name:

*Brokerage Firm:

*Address 1:

Address 2:

*City:

*State:

Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

*Zip Code:

*Daytime Phone:

Please enter the phone number in the format xxx-xxx-xxxx Do not use (xxx) xxx-xxxx or xxx.xxx.xxxx

Fax Number:

Please enter the phone number in the format xxx-xxx-xxxx Do not use (xxx) xxx-xxxx or xxx.xxx.xxxx

Birth Month:

Select MonthJanuaryFebuaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Birth Day:

--12345678910111213141516171819202122232425262728293031

Additional Comments?:

Join our newsletter?: