PIA Agency Membership

Instructions

Please select "Invoice Me" if you wish to pay by check (please include invoice with your check payment).

NOTE: PIA dues are not deductible as charitable contributions for income tax purposes. However, 82.5% of your dues may be deductible as a business expense.

Select An Option

Agency Membership

$370 - Base Agency Membership Dues (includes up to two licensed principals/licensed employees from the same primary agency location).

If you wish to pay by check please select the Invoice Me option.

***Additional Charges to Base Membership Dues***

$25.00 - Per additional licensed agency employee at primary location (beyond the two included in base Membership dues).

$50.00 - Per additional agency location (includes one licensee at that location).

$25.00 - Per additional licensee at each additional location (beyond the one included in the Additional Location fee).

$25.00 - Per Retired Agent

Membership Classifications: Active Members are persons actively engaged as a licensee in the independent insurance agency or brokerage business. All active members have full voting rights.

PIA dues are not deductible as charitable contributions for income tax purposes. However, 82.5% of your dues may be deductible as a business expense. FEIN#: 03-0477063

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist