Dues Renewal 2021


Membership Renewal 2021

Contact Information:
Name:
Company Name (as it appears on the invoice):
Address:
City:
State/Province:
Zip/Postal Code:
Office Phone:
EMail:

Please select your dues level according to total number of employees.

Annual YBAA Membership Renewal
Annual YBAA Membership Renewal for 1 Broker Firm=$350.00
Annual YBAA Membership Renewal for 2 to 3 Broker Firm = $430.00
Annual YBAA Membership Renewal for 4 to 6 Broker Firm = $565.00
Annual YBAA Membership Renewal for 7 to 11 Broker Firm = $720.00
Annual YBAA Membership Renewal for 12 or more Broker Firm =$860.00*
*Add $40.00 for each additional broker over 12

Or
Affiliate Membership Renewal $495.00

Membership Type:

Add $40.00 for each additional broker over 12
The authorized total to be charged to my credit card :


BRANCH annual renewal fee ($50.00 per branch) for additional locations only. If you only have one company location a branch fee is not owed. Please list branch location(s):

Example:

	ABC Company
	111 Distribution Lane
	Annapolis, MD 21403

Branch Location(s):

Please total up your number of branch locations

	x 50 =
	Click here for fee chart.

CPYB Sponsor Donation:
Gold = $5000.00
Silver = $2500.00
Bronze = $1000.00
Friend of CPYB = $500.00

Sponsor Amount

Questions? Please call YBAA (410) 940-6345.

- denotes required fields