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New England Association of
Insurance Fraud Investigators, Inc.

APPLICATION FOR MEMBERSHIP

(Applicants may fill out a form on-line but membership will not become activated until membership fee has been received in our offices)

NAME:

TITLE:

COMPANY OR UNIT:

ADDRESS:

TOWN:

STATE:    ZIP:

TELEPHONE #:     EXT:

CELL PHONE #

FAX TELEPHONE #:

E-MAIL:

APPLICATION DATE:

RENEWAL:   $15.00/YR * 

NEW MEMBERSHIP  $25.00 / FIRST YEAR

[* NOTE: Renewal dues are due by our first meeting in September, which is always the second Friday of the month. If your dues are not paid by that time, then you membership will lapse and you must rejoin as a "new member" and pay the full $25.00 fee].

SPONSOR (*NEW MEMBERSHIP ONLY)

The New England Association of Insurance Fraud Investigators membership shall include individuals employed to investigate or assist in the investigation of insurance fraud and arson, and shall be limited to the following:

1. Full-time Special Investigations Unit employee.

2. Any employee of the National Insurance Crime Bureau, Massachusetts Insurance Fraud Bureau or the Commonwealth Automobile Reinsurers assigned to investigate insurance fraud.

3. Any full-time employee of a Federal, State or Municipal law enforcement or fire agency.

Membership shall be granted at the discretion of the Board of Directors. New Members shall require sponsorship by at least one active member.

PLEASE MAKE CHECK PAYABLE TO: NEAIFI

MAIL COMPLETED APPLICATION AND CHECK TO:

Jayne MacVarish
Investigator 
Travelers of Massachusetts 
PO Box 550
Worcester, Ma.  01613-0550
phone-800-245-0063 extension 4405
fax#: 877-872-5051

 

 

 

 

© 2001 - 07 New England Association
of Insurance Fraud Investigators
All Rights Reserved