Become a Member : Members : Arkansas Self Insurers Association (ASIA)

Membership Dues are $350.00. Hit the Submit Button at the bottom of this form will complete your payment. You will receive a confirmation email.

Note: If you require using US mail for payment, please remit to the following address after submitting the form below.
Arkansas Self-Insures Association
P.O. Box 11926
Fort Smith, AR 72917

If you have any questions you may contact: Melinda Cox, 479-264-8236.

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