Partner Membership Application (New Members Only)

Instructions

Thank you for your interest in joining PIIAC as a Partner Member.  Please fill out the form below to apply for your membership and one of our team members will be in touch with you to complete the application process.  Your membership is not considered effective until confirmed by a PIIAC team member and payment has been received.

If your company partners with the independent insurance industry, a partnership membership is a perfect fit for you. Partner membership is available for insurance carriers, premium finance and others who work exclusively with the insurance industry.

Partner members may attend and participate in all member activities and events. Member pricing is extended to partner members. Partner members also receive a listing of current PIIAC agency members. Additional benefits are available based on the level of membership you choose.

To begin your application, please select your Partner Level below. 

PIIAC Partner Tier Benefits

Bronze

  • Access to list of agency members upon request. (Email Addresses excluded)
  • Membership pricing on all events
  • Recognition on website as Partner Member
  • Listed as Partner Member in quarterly magazine

Silver

  • Access to list of agency members upon request (Email Addresses excluded)
  • Membership pricing on all events
  • Recognition on website as Partner Member
  • Recognition on social media as Partner Member
  • Listed as Partner Member in quarterly magazine
  • 10% Discount on Nabity Golf Tournament Registrations
  • 10% Discount on Convention Registrations

Gold

  • Access to list of agency members upon request (Email Addresses excluded)
  • Membership pricing on all events
  • Recognition on website as Partner Member
  • Recognition on social media as Partner Member
  • Listed as Partner Member in quarterly magazine
  • One 2021 Nabity Golf Tournament Registration
  • One 2021 Annual Convention Registration
  • One complimentary ad in a PIIAC newsletter

Platinum

  • Access to list of agency members upon request (Email Addresses excluded)
  • Membership pricing on all events
  • Recognition on website as Partner Member - Logo
  • Partner spotlight on social media
  • Listed as Partner Member in quarterly magazine
  • Foursome at 2021 Nabity Golf Tournament
  • Hole Sponsor at 2021 Nabity Golf Tournament
  • One (1) trade show booth and two (2) registrations at 2021 Annual Convention
  • Two (2) complimentary ads in PIIAC newsletters

Diamond

  • Access to list of agency members upon request (Email Addresses excluded)
  • Membership pricing on all events
  • Recognition on website as Partner Member - Logo
  • Partner spotlight on social media
  • Listed as Partner Member in quarterly magazine
  • Foursome at 2021 Nabity Golf Tournament
  • Hole Sponsor at 2021 Nabity Golf Tournament
  • One (1) trade show booth and four (4) registrations at 2021 Annual Convention
  • Four (4) complimentary ads in PIIAC newsletters

Dues to PIIAC are not deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense.  A portion of the dues, however, is not deductible as an ordinary and necessary business expense to the extent your Association engages in lobbying.  The non-deductible portion of each year's dues will be available each year after February 15.

All memberships renew November 1st of each year, regardless of join date.

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