2022 Big I Maryland Partnership Pledge

About the Associate Partner Program
Big I Maryland's Associate Partner Program and additional marketing opportunities are designed to promote growth through collaboration and relationship-building. Using a tiered approach, our APP allows each company to choose a partnership based on the level of interaction and exposure they are looking for with Maryland independent agents. All of our partner levels provide companies with maximized, year-round exposure to member agencies and their employees.

The Associate Partner Program dues cycle runs from January 1st through December 31st.

About Your Company
Our organization would like to become a Big I Maryland Associate Partner at the selected level: *

Diamond - $6,000 Gold - $4,000 Silver - $2,000 Bronze - $500
Company Name: *
Please print exactly how you want it to appear on 2022 promotional material/signage
Mailing Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Website: *
Upload Logo:

Please upload your company logo in JPG or PNG format. You may also email your logo to kyrsten@bigimd.com.
Cancel of

Company Contact Information
Contact information is very important. The person(s) listed as contacts are the only people that will receive correspondence pertaining to sponsorships, exhibit booth selections, schedules, and anything else regarding the Associate Partner Program.
Main Contact Name: *

First Name Last Name
Email: *
Phone: *

Area Code Phone Number
Additional Contact Name:

First Name Last Name
Email:
Phone:

Area Code Phone Number

Payment Options
All Associate Partner Program fees are non-refundable.

Please select your desired method of payment below. Payment instructions will be included in your confirmation.
Payment Method: *

Check (payable to IIAMD) eCheck/Credit Card (fees apply) Invoice Me Please!
Amount Due:
Signature *

Clear
Should be Empty:

2022 Partnership Pledge