It is with great pleasure that we invite you to BOSTON register for our 2008-2009 season! ASSOCIATION Membership Form OF CLAIMS 2008-2009 EXECUTIVES Name:____________________________________ P.O. Box 398 Association:________________________________ Northbridge, MA 01534 bostonassociationofclaimsexecs.com Address:___________________________________ ___________________________________ PRESIDENT Jon Prouty ___________________________________ CMCI 1145 West Chestnut Street Telephone: (______)__________________________ Brockton, MA 02301 (800) 540-2624 email@example.com Email: VICE PRESIDENT Number of Memberships: Kimberly Borzino Arbella Insurance Group PO Box 699225 FULL_________ASSOCIATE________ Quincy, MA 02269 (617) 328-2653 Would your company be interested in having a link on our firstname.lastname@example.org website? SECRETARY Carole Boyden (FULL MEMBERS ONLY) Yes____ No____ Lexington Insurance Company 100 Summer Street Full Membership dues for 2008-2009 is $275. Full Boston, MA 02110 (617) 443-4628 Membership includes one dinner at each of the six email@example.com meetings and the Holiday Party. TREASURER Associate Membership dues for 2008-2009 is $125. Sean Carmody Lumber Insurance Companies, Associate Members pay an additional $45 per meal at each In Receivership meeting and the Holiday Party. PO Box 9165 Framingham, MA Please remit this form along with your check made payable (508) 872-8111 firstname.lastname@example.org to Boston Association of Claims Executives to: COUNSEL Boston Association Of Claims Executives Adam Guttin, Esq. C/O Sean Carmody Melick, Porter & Shea, LLP 28 State Street P.O. Box 398 Boston, MA 02109 Northbridge, MA 01534 (617) 523-6200 email@example.com If you have any questions or concerns, please do not hesitate to contact us. In addition, our Full Members will have the option of having a free link to their website from our B.A.C.E. website!