Marine Insurance Association of Seattle Membership Application Form
About us...
Established in 1911, the purpose of the Marine Insurance Association of Seattle (MIAS), shall be to promote harmony, fellowship and good practice in the profession, the interchange of views, opinions and personal experience, the topics of interest to the profession and the consideration of such subjects as may be brought before the Association. The active membership of MIAS consists of a diverse number of Company Underwriters, Brokers, Adjusters, Marine Surveyors and Maritime Attorneys representing a full scope of the Marine Insurance Industry. A non-profit organization, MIAS is committed to promoting good will and educational opportunities within the marine industry.
Annual (Calendar Year) Membership Dues:
Active Members: $300 (in-state and out-of-state)
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Firm Name
*
Firm Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tell us about your company
*
Please upload a Document of the Members you wish to be listed in the MIAS Annual Roster:
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Marine Industry Background:
*
Attach three recommendations from MIAS members in good standing here:
Name 1
*
First Name
Last Name
Firm 1
*
Name 2
*
First Name
Last Name
Firm 2
*
Name 3
*
First Name
Last Name
Firm 3
*
Attach three recommendations from MIAS Members in good standing. These letters should include the following: 1. The business relationship between your firm and the member's firm | 2. The number of years the member has know your firm.
*
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Please Sign and Date Below:
Signature
*
Date
*
-
Month
-
Day
Year
Date
Thank you for considering MIAS Membership.
We will be in contact with you shortly regarding the status of your application.
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