ICMA EcoLabel Registration Form

Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
EcoLabel manufacturer ID code (assigned by ICMA upon licensee approval):*
Name*
First Last
Email Address*
Telephone Number*
Card Product (Be specific; this name should match and be referenced on all other submitted documentation.):*
Product Marketing Name:*
Association Approved Construction Number (for Financial Cards Only), otherwise, enter N/A:*
Type / Use of Card:*
Name of Card Issuing Companies/Organizations - Current or Potential:*
EcoLabel Desired*
- Reduced Materials
- Recycled Content
- Compostable
- Biobased Content
Do you want to display the label on the card? (This is optional, and an additional display fee will be charged.)*
- Yes
- No
Upload Product Construction Drawing*
Upload Association Approved Construction Number/Letter of Approval (Financial Cards Only)
Drop files here or
Select the Assurance Level Desired - Declared or Verified*
- Declared
- Declared, with the intent to verify the product for certification at a later date
- Verified
Upload Third Party Assessment Report*
Signature*
Date*
Date Format: MM slash DD slash YYYY