Add Association:
 
 About Clarion : Association Application
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Endorse Clarion
Association Name* Contact Person*
Address*  
  City*
Country Name* State Name*
Zip/Postal Code* Phone Number*
Fax Number EMail
Web Site URL Number of Active members in the association*
In what countries do the majority members reside? On a percentage basis, how many members are under the age of 26?
If you do not know, please estimate. 		%
Annual membership fee $ Is the purpose of the association strictly to purchase group insurance?*
Does the association currently have a musical instrument insurance program in place?*
If approved, will the association aggressively notify its members of this new insurance benefit?*
If approved, how would the association like the program to work?*