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IBAO is always pleased to welcome new brokerages to join. If you have questions about any of the products and services we offer our members, please contact Jim Barnsley, Technical Support at .

To join now, simply fill out and submit the following form. Thank you!

  
 
Brokerage Name (in full):
Office Street Address:
City:
Province:
Postal Code:
Office Mailing Address:
City:
Province:
Postal Code:
Telephone:
Fax:
Toll Free:
Email:
Website:
Year Office Established:
Does the Insurance Courier Deliver to you? Yes  No
 
List below all Registered Insurance Brokers in your office:
Name, Position in Office, RIBO Reg #,Prof./Educ./Desig./Degree,
Home Postal Code
ex. John Doe, Broker, 02345, CCIB, M9C 4Y1
 
Companies you represent:
 
Computer System and Version:
(ie. Master Agency, 4.0)
Name of Bank Inst:
Does your office sell
life insurance?		 Yes  No
The name of your
Affiliate Association:
Name of firm's RIBO DESIGNATED INDIVIDUAL:
Firm's CORPORATE RIBO REGISTRATION NUMBER:
Name:
(Principal, Officer, Partner)
Date:
 
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