I hereby grant InsurPac permission to communicate with the executive, administrative and professional personnel of the company listed above and any subsidiaries thereof. Permission is effective for the calendar year(s) indicated below. This company has not and will not allow another trade association with a federal PAC to solicit contributions during the calendar year(s) noted.Please enter your name as your electronic signature next to each year for which you would like to provide authorization.
InsurPac has important information to share with you about its political activities. However, before it can share that information and ask for your support, it is required by law to obtain your permission. By signing up today, you take the first step to join thousands of industry colleagues who support InsurPac.Prior approval may be given only by an authorized representative with whom the Independent Insurance Agents & Brokers of America, Inc. or the state association normally conducts association business.