To pay by check, please fill out the form below and send your payment along with a copy of this form to:
Insurance Federation of New York, Inc., P.O. Box 9001, Mt. Vernon, NY 10552. To pay by credit card, please click here.

Corporate A: Corporations or firms w/ over 50 employees and are entitled to add 10 names to membership listing - $1,200.00

Corporate B: Corporations or firms w/ under 50 employees and are entitled to add five (5) names to membership listing - $650.00

Not-for-profit: Not-for-profit or professional associations or organizations Not-for-profit Members entitled to add three (3) names to membership listing - $325.00

Individuals: Individuals who are self-employed or unaffiliated with a company $175.00

Emerging Leaders - Younger emerging leaders in the insurance, reinsurance and allied fields who are not currently part of the membership listing of a corporate or not-for-profit IFNY Member - $50.00

Additional Member Names (Include name, email, and separate with a comma):

Years in the industry
Insurance designation(s)

Underwriting
Reinsurance
Accounting and Finance
Legal/Regulatory
Actuarial
Agency/Brokerage
Risk Management
Claims
Advisory
Business Development
Rating Agency
Industry Organization or Publication

Other: