BOSTON ASSOCIATION OF CLAIMS EXECUTIVES

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					                                     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
jon@commonwealthmediation.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
kimberly.borzino@arbella.com         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
carole.boyden@aig.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
scarmody@lumberins.com
                                     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
aguttin@melicklaw.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!

				
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