Join MIPIA/Renew Membership

Thank you for deciding to join the Michigan PIA.

We have three levels of membership:

Vendor Membership $495: Intended for a business that provides services to an Insurance Company, Independent Agency, or their customers. Examples: Restoration Company, IT Vendor, Auto Glass Repair, etc

Agency Membership $495: Intended for an Insurance Agency that is licensed to sell Property, Casualty, Life, or Health Insurance by multiple Insurance Companies. MGA’s will fall under this category.

Affiliate Membership $750: Intended for Insurance Companies that sell their product through the Independent Agency System.

Please complete the following information. After you submit the form, a PayPal window will open. You will be able to pay for your membership with a Credit Card (No PayPal account is necessary).

If you wish to pay with a check please make a note in the comments box below, disregard the PayPal window, and we can send you an invoice.

Name*
Agency/Company Name*
Phone
Agency Website*
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Michigan Professional Insurance Agent Association Membership*
- Vendor Membership ~ $495
- Agency Membership ~ $495
- Affiliate Membership (Company) ~ $750
Comments or Questions
If their are others in your organization you wish to be added to our mailing list please enter their names and email addresses below.

Please note, membership fees are non-refundable should you choose to cancel prior to your renewal.

Join MIPIA/Renew Membership

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