International Disability Insurance Society
         
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2016 Membership Dues Payment Information

You can choose your method of payment once you complete the registration process.

  Make sure you select and check I will 'Pay by Credit Card' during the registration process if you are going to use a credit card in the area below, and also include all contact information including your email address. Otherwise you will not be able to proceed with payment

Please contact us if you have any problems or need help with this process. 

We are here to assist.

Mon-Fri - 9:00 am - 5:00 pm (PST)

International DI Society - Tel: 562.481.2381 

 
--Registrant Information--

First Name:
Last Name:
Designation:
Company:
Address:
City:
State:
Zip:
Work Phone:
Fax:
Email:
 
--Price Options--
SelectAmountItem Description
$295.00Renewal
$295.00New Member
$595.00

One Year of Membership & 2016 Conference 

$150.00International Membership (out of USA)

I will 'Pay by Credit Card'
I will 'Pay by Check'
Please mail your check to:
International DI Society 12340 Seal Beach Blvd. #B357 Seal Beach, CA 90740
  
I am renewing only (You do not have to complete the rest of the options below)
I am interested in serving on a committee or the board - Please Contact Me
Member of NAIFA
Member of NAHU
Member of SFSP
Member of MDRT
Member of NAHU
Producer
Home Office
How Long in Business :
How did you hear about the DI Society:
Name of Sponsor or Person who Referred You: