Home » Member Benefits » Agency Membership Application

Please complete the form below and you will be billed by mail according to the fee structure found at the bottom of this form.

Agency Size	Amount	Agency Size	Amount
1	$385	16	$1,025
2	$430	17	$1,070
3	$475	18	$1,110
4	$520	19	$1,155
5	$565	20	$1,185
6	$605	21	$1,230
7	$655	22	$1,270
8	$695	23	$1,320
9	$735	24	$1,360
10	$775	25	$1,405
11	$820	26	$1,445
12	$865	27	$1,490
13	$900	28	$1,530
14	$940	29	$1,575
15	$985	30 & Over	$1,610

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