Membership Request

If your company is already a member:

Create a User Account

 

Membership in the Insurance Tax Conference shall be open to firms who are associated with the transactions of insurance matters and who meet one of the following classifications: (a) insurance companies; (b) law firms; (c) actuarial firms; (d) accounting firms; (e) other insurance industry consultants approved by the board. 

Only representatives from member companies may register to participate in the conference. The current membership fee is $300 per organization per year. The membership fee is subject to change and will be confirmed at the time of purchase.

To request membership for a new company, please submit the information below for approval:

Personal Information

Prefix
First Name
Last Name
Suffix
Title
Designation
Individual Type
Organization Name

 

Address Information

Please select your country first and the “State” input field will be populated with available states, provinces or territories of your country.

Work Address
Address 2
City
State
Zip
Country

 

Contact Information

Please use an email address associated with your company, this will be used to help verify membership. Your company email address will be used as the login ID. Please note the same capitalization entered below will need to be used when logging into the Insurance Tax Conference webpage. 

Passwords must be 8-32 characters, one upper case letter, one lower case letter, one number AND one special character ($,!,#,@,&).

Email
Desired Password
Work Phone
Mobile Phone
Website

 

Please provide the following additional information

Professional Designation
License Type
Expertise

 

Contact and Publishing Preferences

Please let us know how you would like to be contacted and if you would like your information to published online.


Billing Information
First Name
Last Name
Address
City
State
Zip