If your job is communicating to agency, employee, policyholder and other insurance audiences through print or electronic publications PICA is the professional organization for you! If you strive to have your organization's voice heard above the roar of legislators, consumer groups and sometimes your own staff, PICA can help! If you fight downsizing, right-sizing, budget cuts and sometimes management skepticism, PICA can provide input because our members do the same job you do! Through annual conferences, a member's only portion of this site with exclusive information, our online forum and regular e-mail updates, you'll find the support you need to do your job better than ever before. Simply complete and print this registration form and send it with a check for $XXX.XX made payable to: Professional Insurance Communicators of America Inc. 3601 Vincennes Road P.O. Box 68700 Indianapolis, IN 46268-0700
Name
Title
Company/Organization
Address
City
State/Zip	/
Country
Phone (Home/Cell)
Phone (Work)
Fax
Email
Publication
Editor
Assistant Editor(s)
Type of Membership:
Full	Editors from NAMIC member companies
	$275 - Single $325 - Corporate (two or more individuals from the same company at the same address)
Associate Membership	Editors from insurance companies NOT associated with NAMIC
	$300 - Single $375 - Corporate
Affiliate Membership	Other non-company, insurance-related organizations (trade assocations, trade publications, agencies, vendors, service agencies, etc.)
	$300 - Single Only
Professional Membership	Non-company service providers whose clientel includes, but is not limited to, insurance companies or organizations (vendors, private contractors, service agencies, etc.)
	$150 - Single Only