New Individual Affiliate Sign-up

Contact Information









Owner/Principal Information







(xxx-xxx-xxxx)

(for IBAS related emails)




Applicant Information




Privacy Information

Do you consent to receive email communications from us?
 Y    N


Agreement

 Yes   I/we hereby agree to observe strictly the by-laws, rules and regulations of the Insurance Brokers Association of Saskatchewan (IBAS), as it now is, or may hereafter be constitutionally amended, holding faithfully to the spirit as well as to the letter of said by-laws, rules, and regulations, and also agree that violation by another broker shall not be deemed as in any manner waiving my/our obligations under this agreement.

 Yes   I hereby confirm that the information contained in this application is correct and authorize the Insurance Brokers Association of Saskatchewan (IBAS) to verify the information given with the appropriate sources.