Member Referral

If you are currently a member company of Affinity Insurance, and would like to recommend or refer another company for membership, please complete the following form.

Company Name:
Contact/Owner Name:
Address:
City:
State:
ZIP:
Phone:
Type of Operations:
How do we know this company?
General Comments:
Referring Member:

   

Thank you for helping Affinity grow!
Don't forget the member referral contest currently underway.
You could win free room accommodations at the Bahamas meeting!

Affinity Members receive their Referral Awards at the recent Affinity Board Meeting in June, 2008 in Quebec, Canada from Danny Cash, Affinity Membership Development Chairman. Pictured are: Harry Scoble, Summit Corporation of America; Steve Kolter, Captive Resources; Ken Scholten, Agility Health Care; Michael Durkin, Tonawanda Coke Corporation and Danny Cash, Cash Distributing



 
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