Sterling Partnership Appllication

Instructions

Thank you for your interest in a Sterling Partnership with PIA Western Alliance!

Please select your Sterling Partnership level and then scroll down to complete the online application.

The top portion of the form (Individual Information) should include contact information for the primary contact person. The Business Information portion of the form should include the general contact information for the company (if different from the Individual Information). Please select the state(s) you represent that corresponds with the number of states from your partnership level from the dropdown menu.

Please confirm that your contact information is accurate (with correct spelling and punctuation) prior to submitting your application. Once application is received, we will review and contact you if there are questions. When approved, your credit card will be charged and you will receive a confirmation email and receipt. If you wish to pay by check, please select "Invoice Me" at the bottom of the form .

Please contact us at (888) 246-4466 if you have any questions!

Select Your Option(s)

Sterling Partnership Price of Level Selected (Price Range: $1500 - $8250 Once Per Term)

Select Level

Membership with PIA directly supports the independent agency system through PIA's legislative advocacy. In return, PIA has numerous ways to benefit your company with our Branding and Marketing program that reaches more than 12,000 independent agencies in 10 western states. Discover how your company can benefit as a Sterling Partner with PIA Western Alliance.

Sterling Partner Benefits:

Company logo displayed on our piawest.com homepage
Company logo and brief description featured on Sterling Partners webpage
Dedicated company webpage linked from the Sterling Partners webpage (above) with your marketing message and linked to URL you provide.
Company logo featured on each applicable state web page joined & linked back to your dedicated webpage and linked back to your dedicated webpage on our piawest.com website.
Company logo featured in monthly mailings and membership kits. You can also include your printed flyer sent to us
2 annual posts on our Social Media channels
2 free PIA hosted Webinar for CE or 1 CPIA Module to share with agent or colleague
Member discount for CE webinars or 1 CPIA module OR TRA Designatioins for your employees
Company logo featured at PIA Events
Host 2 of your best agents FREE to a state or regional Western Alliance event
Member discount for exhibiting or attending PIA events
Legislative advocacy with grassroots messaging

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Membership Options are incorrect, Please check the selected membership options