IBAH | Renew Membership

Renew Online

To submit your application online and pay using a credit card through our secure payment portal, please complete the form on this page.

Once you click 'submit', you will be redirected to our online payment portal, where you will have the option to pay by VISA, MASTERCARD or AMERICAN EXPRESS.

> I'VE ALREADY COMPLETED THE FORM. TAKE ME DIRECTLY TO THE ONLINE PAYMENT!

Prefer to Use Paper?

No problem! Mail your completed application, along with your cheque to:

Chad Brownlee, Membership Chairperson, c/o Dan Lawrie Insurance Brokers, 105 Main Street East, Suite 14th Floor Hamilton, ON, L8N 1G6

Questions? Contact Chad at (905) 525-7259 x1364

> DOWNLOAD IBAH RENEWAL APPLICATION

Renew your IBAH Membership

Company Name: *

Contact Name: *

Company Website (If Changed):

Company Phone (If Changed):

Contact Email Address: *

# Total Staff: *

# Staff RIBO Licenced: *

# Staff Unlicenced:

How are you paying? *

Online

Cheque (Mail in)

Website Listing The Same As Previous Year:

Yes

No

If no, please include any required changes here:

Upload logo if changed from last year (high resolution):

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