Agent Membership Dues — Online Payment

Name *

Agency Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Agency dues are based on annual property and casualty premium for the last twelve months.

Over $10 Million $1015

$7 Million - $10 MIllion $935

$5 Million - $7 Million $890

$3 million - $5 Million $795 (765)

$1 Million - $3 Million $725 (695)

Up to $1 Million 650 (625)

First Year or Branch Agency $390 (375)

*4% credit card fees are included in the membership dues pricing.

Premium Volume

Total Amount

$ 0.00

Message

Questions? We can help you! Contact us at (501) 225-1645, or if you prefer