General Membership

If you wish to become a member of the North Carolina Insurance Crime Information Exchange (NCICIE), please fill out the electronic form below, or you may download a PDF version of the form and check the box for New in the upper right hand corner: Membership Application.

Annual membership fee is $25.00 for the first year and $20.00 for continuous membership each year thereafter. Membership year begins on January 1 and ends on December 31 of each calendar year.

If you choose to complete the .pdf version of the form, please mail your application and check payment to the following address: NCICIE,  PO Box 2583, Southern Pines, NC 28388-2583

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