Certificate of Insurance Request Form

Complete the Certificate of Insurance Request Form.

Send to: Attention Michelle Evans

Fax: 847.953.2672

Email: michelle.evans@affinitynonprofits.com

Instructions for completing the Certificate of Insurance request form:

Name of Insured – "Beta Alpha Psi"

Chapter Name - “Enter your chapter name and number here”

Address – "Enter your school/chapter address here"

Describe Event – You must include a sentence describing the event. Example: “Multi-chapter Softball Tournament”

Certificate Holder – “Enter name and contact information for person(s) requesting the certificate of insurance.”

Representative Contact Information:

Michelle Evans | Account Manager
Aon Association Services a Division of Affinity Insurance Services, Inc.
1120 20th Street, NW, 6th Floor
Washington DC, 20036

Email:        michelle.evans@affinitynonprofits.com 
Website:    www.nonprofitinsurancesolutions.com


Hear what our Professional Partners think about BAP!

At Xero, we want millions of small businesses to thrive through better tools, information and connections with their accounting and bookkeeping partners. We know technology is only half the equation - it's the human and technology elements combined that make the role of an accounting professional so powerful. Members of Beta Alpha Psi are the catalyst to make our mission a reality and represent the future success of small businesses as the advisors that will lead them forward.

Ryan Wakefield
Xero