IA&B Partner Membership Application

  • Company Information

  • Contact Information

  • If licensed, please provide the following:
  • If licensed, please provide the following:
  • Partner Level

  • Questions?

  • Contact Tim at TimW@IABforME.com or 800-998-9644, ext. 351.

  • Fine Print

  • Partner sponsorships are pro-rated February through December. For current rate, call Tim at 800-998-9644, ext. 351.

    Promotion benefit cycle will begin within 60 days of program registration approval. Partner benefits will be in effect through the end of current year. Based on your join date, your benefits could vary.

    The Association reserves the right to exercise its sole discretion in acceptance/refusal of partner applications. If an application is not accepted by the Association, all money paid will be returned to the applicant.


National Affiliation

PA & DE members are affiliated with the Independent Insurance Agents & Brokers of America (IIABA).
MD members are affiliated with the National Association of Professional Insurance Agents (PIA)

Membership Information

650 Wilson Lane, Suite 200
Mechanicsburg, PA 17055
191 Main Street
Annapolis, MD 21401
Toll Free: 800-998-9644
Fax: 717-795-8347
Email: IAB@IABforME.com
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