FAIA | InsurPac-A-Thon Registration Form

InsurPac-A-Thon Volunteer Registration Form

*Required Field

March 9, 2010

FAIA Headquarters

1:00 – 5:00 p.m.

On-line Registration*

We need volunteers to assist in calling FAIA members to enlist InsurPAC donations. Helping with the InsurPac-A-Thon is a great way to show your support for FAIA's YAC as well as an opportunity to fellowship with your peers. As if that is not enough of an incentive, keep in mind that volunteers will receive a small stipend! For questions about this very special day, please contact Melissa Champany at 850-893-4511 x344

Volunteer Information
Yes, I will volunteer for the full event:
Yes, I can volunteer from	to
*Name:
*Agency Address:
Address:
City:
State:
County:
Zip:
*Phone:
*Email:

Florida Association of Insurance Agents

InsurPac-A-Thon Volunteer Registration Form

March 9, 2010

FAIA Headquarters

1:00 – 5:00 p.m.

On-line Registration*