Associate Membership Application

Join IIAT!

Please completely fill out the Membership Application below.

We will review your application and will follow up with a membership invoice pending approval. Please note the membership process takes about 2-3 days.

For questions, please contact Rae Mock at [email protected].

Primary Contact

This person will be able to update your company's information, employee listing (e.g., add, edit, transfer, remove), and pay company invoices - including membership dues.

First Name

Last Name

Email

Associate Membership Level

At which Associate Membership Level would your company like to join?

Supporter - $3,000Promoter - $9,000Influencer - $17,000Lead Underwriter - $27,000

Rae Mock

Membership Manager

Associate Membership Application

Please completely fill out the Membership Application below.

Primary Contact

Company Information

Associate Membership Level

Rae Mock

Thank You to Our Lead Underwriters