Associate Member Application

Company Information
Street Address
Employee Count
Your dues payment includes a suggested PAC contribution of $75 ($200 for insurance companies). This contribution is not required but is automatically charged because of a glitch discovered after we updated our system. If you'd like a refund, please email Membership Director Melissa Weaver after you complete the renewal process. Thank you for your patience and understanding.

By providing an e-mail, I consent to the receipt of e-mails and all other correspondence sent to this office or additional locations from FAIA, FAIA Member Services, and IIABA and its subsidiaries. My signature verifies that I have the authority to provide such consent.

I attest that the information included in this application is correct and that I will adhere to the association’s Constitution and Bylaws.