Contact Us Learn more about membership benefits with Assure Alliance. Call us at (855) 327-7873 for immediate assistance. Please send all mail to: AssureAlliance, LLC – Care of SIAA PO Box 1468 | Portsmouth, NH 03802 I am a Existing AgencyI am a Start-Up/New Agency First NameLast NameEmail(Required) Agency Name(Required)PhoneStreet AddressCityStateGeorgiaNorth CarolinaSouth CarolinaTennesseeVirginiaZip code(Required)Years of Experience in P&C InsuranceP&C Carrier 1P&C Carrier 2P&C Carrier 3P&C Volume (Select)0 - 500,000500,000 - 1.25 Million1.25 - 2 Million2 - 4 Million4 - 8 MillionMore than 8 MillionHow did you hear about Assure Alliance/SIAA? (Select)(Required)Agent & BrokerBest's ReviewDirect MailEmail from SIAAGoogle / Bing / SearchIndependent Agent MagazineInsurance Journal / Daily e-NewsNational Underwriter / PC360Referral from a company repReferral from another memberRough NotesSocial MediaOtherIf Other, Please describeComments or additional information we should know about you:CAPTCHA First NameLast NameEmail(Required) PhoneStreet AddressCityStateGeorgiaNorth CarolinaSouth CarolinaTennesseeVirginiaZip code(Required)Years of Experience in InsuranceInsurance Background (select)Direct Writer/CaptiveLife/Financial ServicesAgency ProducerOtherIf you were previously, or are now a direct writer or captive agent, please selectAAA InsuranceAllstateAmerican FarmersAmerican FamilyAmerican HardwareAuto ClubCotton StatesCountry InsuranceErieFarm BureauFarm FamilyFarmers InsuranceFederatedFidelity NationalGeicoGuide OneHorace MannLiberty MutualMetropolitanNationwidePrudentialRuralSentryShelterState FarmOtherIf you were previously, or are now a producer for an agency, please indicate the name of the agencyHow did you hear about Assure Alliance/SIAA? (Select)(Required)Agent & BrokerBest's ReviewDirect MailEmail from SIAAGoogle / Bing / SearchIndependent Agent MagazineInsurance Journal / Daily e-NewsNational Underwriter / PC360Referral from a company repReferral from another memberRough NotesSocial MediaOtherIf Other, Please describeComments or additional information we should know about you:CAPTCHA