IBAH | Renew Membership

Renew Online

To submit your application online and pay using a credit card through our secure payment portal, please complete the form on this page.

Once you click 'submit', you will be redirected to our online payment portal, where you will have the option to pay by VISA, MASTERCARD or AMERICAN EXPRESS.

Prefer to Use Paper?

No problem! Mail your completed application, along with your cheque to:

Brittany Mildenberger, Binbrook Insurance Brokers, 2567 Binbrook Rd, Binbrook, ON L0R 1C0

Questions? Contact Brittany at 905-692-4418

DOWNLOAD IBAH RENEWAL MEMBER APPLICATION »

Renew your IBAH Membership

Company Name: *

Contact Name: *

Membership Type: *

Member

Associate Member

Company Website (If Changed):

Company Phone (If Changed):

Contact Email Address: *

# Total Staff: *

# Staff RIBO Licenced: (Just put '1' for Associate Members to get to next step) *

# Staff Unlicenced:

How are you paying? *

Online

Cheque (Mail in)

Website Listing The Same As Previous Year:

Yes

No

If no, please include any required changes here:

Upload logo if changed from last year (high resolution):

Browse...

Spam Blocker