Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.First Name test *Last Name *Company *Position *Mailing Address *Phone *Email Address *Type of Experience / Number of Years in the Insurance Industry:Would you be interested in volunteering for any NYCAIW committees in the future? If so, what area(s) would be of most interest to you?Budget & FinanceCommunity Affairs & Public RelationsEducationMembership/OrganizationProgramsDo you have prior experience serving as a Board Member for other non-profit organizations? How did you hear about us?LayoutMembership FeesMembership Fee: - $100.00Student Membership Fee - $50.00Membership Renewal Fee: - $100.00Student Membership Renewal Fee - $50.00You will receive payment instructions to activate your membership. Submit
