IIAT Local Association Benefits Menu Submission Form

Take advantage of all IIAT has to offer your local association — multiple entries are welcome!

Complete each section with the necessary details—it's okay to tackle one section today and finish another on a different day. Multiple entries are accepted!

When you're done, click the Submit button at the bottom of the page.

Local Association

First Name

Last Name

Email

Sponsorship

IIAT will send your local association $500 for the event of your choice!

Please submit your event, event date, and invoice a month in advance.

Please send your invoice to Kier Lewis at klewis@iiat.org.

Event

Date

Speaker Request

Want an IIAT representative to speak or install your officers this upcoming year?

To best serve you & provide the best chance of meeting your needs please submit 4 months before your event.

Please let us know the event and date.

Event

Date

Please share which IIAT employee you'd like to attend and the speaking topic you'd prefer.

Giveaways

1. IIAT will provide a free registration to 2025 Joe Vincent and INSURCON that can be used as a giveaway at one of your events.

Please note that giveaways are meant to be used with your membership. All staff, officers and board members will be excluded from winning.

Select the Event Joe Vincent Management SeminarINSURCON Annual Conference

First Name

Last Name

Agency Name

Email

Work Phone

2. Free registration for (1) one board member at your organization to INSURCON and Joe Vincent Management Seminar.

Select the Event Joe Vincent Management SeminarINSURCON Annual Conference

First Name

Last Name

Agency Name

Email

Work Phone

Volunteer Leadership Symposium

Would you or someone on your board like to participate in IIAT's Volunteer Leadership Symposium at INSURCON?

Yes

No

If Yes,

Add contact information below (First and last name):

Email

Contact email address

IIAT will send more information as we get closer, but make sure to save the date!

Do not hesitate to reach out to Kier Lewis with any questions along the way. Save her contact information listed below.

Kier Lewis

Programs Manager

IIAT Local Association Benefits Menu Submission Form

Complete each section with the necessary details—it's okay to tackle one section today and finish another on a different day. Multiple entries are accepted!

Sponsorship

IIAT will send your local association $500 for the event of your choice!

Speaker Request

Want an IIAT representative to speak or install your officers this upcoming year?

Giveaways

1. IIAT will provide a free registration to 2025 Joe Vincent and INSURCON that can be used as a giveaway at one of your events.

2. Free registration for (1) one board member at your organization to INSURCON and Joe Vincent Management Seminar.

Volunteer Leadership Symposium

Would you or someone on your board like to participate in IIAT's Volunteer Leadership Symposium at INSURCON?

IIAT will send more information as we get closer, but make sure to save the date!

Do not hesitate to reach out to Kier Lewis with any questions along the way. Save her contact information listed below.

Kier Lewis

Thank You to Our Lead Underwriters