Associate Membership Application

Raleigh Claims Association Associate Membership Application

You can complete the web form below or print the application from this file and submit it via mail.

ASSOCIATE MEMBERSHIP may be granted to any person upon application and payment of dues provided such person meets any one of the following descriptions:

  • Inspires and inculcates, by proper education and the dissemination of information, a deeper interest in the study of adjusting and related activities;
  • Provides and encourages adherence to a code of ethics for those engaging in the business of adjusting and related activities; or
  • Is engaged in a business that directly services the work function performed by regular members.

Any applicant for Associate Membership may be rejected with or without cause by the Board of Directors. Associate Members are entitled to all the rights and privileges of the Association with the exceptions of voting, scholarships and holding office.

Your Name

License(s) Held, if Any

Your Email (All meeting notices are sent only via email.)

Job Title

Employer / Company Name

Company Mailing Address

Work Telephone

Home Address

Home Telephone

Cell Phone

How did you become interested in RCA?

Are you a member of any other local claims associations?

If yes, name(s) of associations:

Are you interested in sponsoring any events?
YesNoNot sure, please have someone contact me.

Are you interested in sponsoring any meetings?
YesNoNot sure, please have someone contact me.

Are you interested in helping with events such as the Golf Outing, Christmas Party, etc., either with advance planning or on-site the day of the event?
YesNoNot sure, please have someone contact me.

You can pay your $20.00 membership dues right now via Paypal by clicking “Buy Now”:

Or you can mail your $20.00 dues payment to us at the address below:

Raleigh Claims Association
P.O. Box 10183
Raleigh, NC 27605-0183

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