Application for CIU Annual Membership 2017

Online Application: The following information is required for Canadian Institute of Underwriters to process your membership application. Please note that all fields are mandatory.

Download the Word version of the CIU 2017 - Membership Form and complete for mailing along with your Cheque payment of $120 CDN to the address on the form. Contact us for credit card payments to which a 5% service charge applies. Questions? marian.kingsmill@sympatico.ca; webmaster@ciu.ca

Member Name
Designations
CIU Membership Status
***
Title/Position
Company Name
Street Address
City
Province/State
Country
Postal Code/Zip
Routing or other
Main Company Phone Number
Member Phone Number
Extension
Member Fax Number
Email Address
Linked In?
LinkedIn Yes LinkedIn No
OTR Journal
Mailed copy Electronic copy
MAILING ADDRESS: Corporate Office
ALTERNATE ADDRESS

*** If you are unsure of what your status should be with Canadian Institute of Underwriters please see FAQ - "About Designations"

 

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