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Sponsorship Registration

Sponsorship Registration Form

Please complete the form below for company sponsorship.  An automatic email will be generated and sent to the RAPA committee after completion of the form.  Please press send upon verifying all the information.

To review the packages before completing the form, please select the following link:

    Company Information:

    Sponsorship Amount:

    Total Sponsorship Amount (USD):

    Make Checks Payable to:
    Reinsurance Administration Professionals Association

    Mail to:
    John DeCarlo
    200 Stamford Place, Suite 400
    Stamford, CT 06902