Get Membership Application - Massagent.com

Filling out the MEMBERSHIP APPLICATION is a crucial step for independent, licensed insurance agencies seeking membership in MAIA. This guide provides clear instructions to help users complete the application efficiently and accurately.

Follow the steps to successfully complete the membership application.

1. Click the ‘Get Form’ button to access the membership application form and open it in your preferred digital editor.
2. Begin by entering the name of the owner in the designated field. This should be the individual responsible for the application.
3. Provide a valid email address. This will be used for correspondence regarding your application.
4. Fill in the agency name, ensuring it reflects the official name of your business organization.
5. Enter the mailing address, including city, state, and zip code. This information is essential for future communications.
6. Input the agency's telephone number for direct contact. Optionally, include a fax number if applicable.
7. Indicate the type of business organization your agency represents by checking the appropriate box: Corporation, Partnership, Sole Proprietorship, or Other.
8. Please provide the total number of staff in all agency locations. This information is used to determine your dues category.
9. Review the dues structure based on the number of employees. Be sure to note the correct dues relevant to your agency size.
10. Affirm the accuracy of the information by signing in the designated area. Include your position in the agency and the date of signing.
11. Select your payment option. You may choose to mail a check or pay by credit card. Complete either the check section or credit card section, providing all necessary details.
12. Finalize your application by saving any changes, downloading a copy, and printing it for your records. You may also share the completed form if required.

Complete your membership application online today to become part of MAIA!