Become an AICA Sponsor Here!

Arizona Claims Association Sponsorship Form

STEP 1	Fill out the membership form
Company Name:
Company Address:
City/State:
Zip Code:
Contact Person/Requestor:
Contact E-mail:
Phone Number:
Toll Free (800) Number:
Emergency Number (if applicable):
Web Site Address:
Please fill this in if you have multiple location addresses. Include address, phone, fax, contact and e-mail addresses as necessary.
Please identify the category/categories that best describe your company. There is a $100 charge for the first category and a $50 charge per additional category.	Advertising Attorneys Auto Repair Bodily Injury/Workers Compensation Expert Independent Adjusters Restoration - Contents Restoration - Emergency Services Restoration - General Contractor Temporary Housing
YOU MUST BE A MEMBER OF THE AICA TO ADVERTISE, SO IF YOU HAVE NOT COMPLETED YOUR MEMBERSHIP APPLICATIONS YET, PLEASE CLICK HERE AND TAKE A FEW MINUTES TO DO SO NOW.