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To become a member of ICAE, please complete the online form.

Annual Dues:
$500 Organization

Allows up to 3 representatives to be "designees"of your organization. (Click here to complete Organization Membership form)
$250 Individual (Click here to complete Individual Membership form)

Please mail your check to the address specified on the Membership form.
Please complete and submit the following Enrollment/Renewal form to become an ICAE member!

Organization Membership Form
Membership Status
Organization Name
Address
City
State
 Zip
Primary Organization Contact:
Name
Title
Unit
Work Phone
Fax Number
E-mail
Designate #2
Name
Title
Unit
Work Phone
Fax Number
E-mail
Designate #3
Name
Title:
Unit:
Work Phone:
Fax Number:
E-mail:

Annual Dues are : $500 Organization
Please make check payable to ICAE, and mail to:
Insurance Consumer Affairs Exchange
P.O. Box 746
Lake Zurich, IL 60047

Thank you for joining us!

 

Individual Membership Form
Membership Status
Name
Title
Unit
Company Name
Company Address
City
State
 Zip
Work Phone
Fax Number
E-mail

Annual Dues are: $250 Individual
Please make check payable to ICAE, and mail to:
Insurance Consumer Affairs Exchange
P.O. Box 746
Lake Zurich, IL 60047

Thank you for joining us!

 

 
 

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© Copyright 2008 Insurance Consumer Affairs Exchange
P.O. Box 746, Lake Zurich, IL 60047
Phone: 847.991.8454