2025 IIANM Associate Member Application

Associate Member Application

Please contact rachel@iianm.org if you have any questions.
Unlock the benefits that only members receive!
We have two levels of Associate membership available:

Associate Membership ($700 Annually)
1. Listing in our online member directory
2. Access to our online member directory
3. Member pricing to all events and education
4. Keep up to date with all communications
5. Invitation to Networking events with owners of over 110 insurance agencies in the state
Associate-PLUS Membership ($1,500 Annually)
This membership is only available from Jan - June
1. (everything from above)
2. INCLUDED BOOTH at premier Convention & Trade Show (includes one full registration)
  Note: It's a $200 discount on our 2025 Exhibitor non-member rate of $1,700
Company Name:*
Main Contact:*

First NameLast Name
Email*
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Website:

Billing Contact:

First NameLast Name
Email
example@example.com
If there is anyone else in your company who would be interested in receiving our member communications, please include their information below.

If there is no one, please click NEXT.

Dues Pricing Information
We have two levels of Associate membership available:*

Associate Membership ($700/Annually)Associate PLUS Membership ($1,500/Annually)
(After clicking the "SUBMIT" button, please select the "PayNow" button to submit dues payment.)
Should be Empty:

Associate Member Application