Document 6601384

Location Options:
9/17/14 - Plainview
Four Points SheratonPlainview
333 S Service Rd
Plainview, NY
10/2/14 - NYC
ELANY
1 Exchange Plz
55 Broadway - 29th Floor
New York, NY
11/5/14 – Plainview
NYAIP Certification Program
8:30 am – 12:45 pm | $150 per Registrant
5 CE Credits (PC, BR, C3, PA) | NYCR-244978 | NYPO-100001
Four Points SheratonPlainview
333 S Service Rd
Plainview, NY
11/14/14 – Bayside
Adria Hotel & Conference
Center
221 - 17 Northern Blvd
Bayside, NY
Effective November 1, 2000, one NYAIP producer is required to take an approved producer
procedures course once within every four-year period to continue his/her certification with the plan.
The producer is the producer of record filed with the Plan. This course provides general information
about the Plan and concentrates on those situations that are the most commonly encountered
when handling Plan business.
Who Should Attend:
View NYAIP Producer Certification Program Guidelines for Attendance Online
Instructors:
Steve Etimos, CIC
During the past 23 years Steve has worked for two independent agencies as
well as The Hartford as a marketing representative before purchasing and
becoming the managing partner of Brewster Allen Wichert. Steve’s background
allows him to bring to class experience as a company representative, a
producer, and now an agency owner.
Rick Longueira, AAI
Richard Longueira, AAI, a principal of Petrocelli Group, Inc. in Queens, is a past
president director of the Independent Insurance Agents and Brokers of New
York (2001 – 2004). Currently, Mr. Longueira is IIABNY’s representative to New
York Automobile Insurance Plan’s Producer Liaison Committee. He is a
member of the Board of Directors of the Tri County Independent Insurance
Agents Association.
p: 800.962.7950
f: 888-432-0510
e: edu@iiabny.org
IIABNY Education Registration
st
5784 Widewaters Parkway, 1 Floor, Dewitt, NY 13214 | Phone: 800.962.7950 | Fax: 888-432-0510
________________________________________________________________________________________________________________________
Registrant Name (please indicate if changed)
E-mail
________________________________________________________________________________________________________________________
NYS License Number(s)
________________________________________________________________________________________________________________________
Agency (please indicate if changed)
________________________________________________________________________________________________________________________
Street Address
City, State, Zip
________________________________________________________________________________________________________________________
Phone
Fax
PLEASE SELECT CLASS(ES) AND FILL IN YOUR CHOSEN LOCATION:
 15 Credits in 1 Day – Self Study
$160 Members | $290 Non-Members
Location: ____________________________
 2014 – E&O Risk Management
$165 Members | $245 Non-Members
Location: ___________________________
 AAI 83A – Principles of Agency Management
$210 Members | $290 Non-Members
Location: ____________________________
 Pre-Order AAI 83A Course Manual (+$5.00)
 AAI 83C – Agency Manage. Tools & Processes  ACSR 1 – Homeowners Insurance
$210 Members | $290 Non-Members
$160 Members | $240 Non-Members
Location: ____________________________
Location: __________________________
 ACSR 6 – Commercial Property Insurance
$160 Members | $240 Non-Members
Location: ____________________________
 Pre-Order AAI 83C Course Manual (+$5.00)
 Pre-Order ACSR 1 Course Manual (+$5.00)  Pre-Order ACSR 6 Course Manual (+$5.00)
 Coastal Exposures
$85 Members | $145 Non-Members
Location: ____________________________
 Condo & Renter Policies – Nothing to
Worry About
$85 Members | $145 Non-Members
Location: ____________________________
 Contracts, Additional Insureds and
Certificates of Insurance – Oh My!
$160 Members | $240 Non-Members
Location: __________________________
 NYAIP Certification Program
$150 per Registrant
 Personal Auto Situations & Solutions
$85 Members | $145 Non-Members
Location: ____________________________
Location: ____________________________
 Social Media – Ethics, Fraud and Intellectual
Property Issues
$100 Members | $160 Non-Members
Location: ____________________________
 Understanding the Affluent Market
$85 Members | $145 Non-Members
Location: __________________________
 Using the SHOP Marketplace to Benefit Your Clients
$125 Members | $200 Non-Members
Location: ____________________________
PAYMENT METHOD
 Check (made payable to IIABNY, Inc.)  American Express  MasterCard  Visa
Amount $ ____________________________________
Card #
Expiration Date
________________________________________________________________________________________________________________________
Name on Card (please print)
Authorized Signature
REGISTRATION INFO: You must register at least two weeks prior to the seminar to receive your CE certificate on site. Please be on time - Continuing Education rules
will not allow CE credit to be awarded to anyone arriving after the start of the program. Full and half-day programs will have morning and/or afternoon refreshments.
Lunch is not provided. Photo I.D. must be presented at registration.
PAYMENT: If registering less than 1 week prior to a seminar, payment will need to be made by credit card or a check must be brought the day of in order to attend. If
payment is not received by class date, license information will not be submitted to insurance department. WALK-INS: Add $10 for registering “at the door.”
DISABILITIES: We invite all registrants to advise us of any disability and any requests for accommodation to that disability. Please contact us at 1-800-962-7950.
CANCELLATION POLICY: Full credit toward another seminar will be allowed for cancellation requests received at least 3 business days before a seminar minus the cost
of your book (if sent in advance). Any cancellation request received less than 3 business days prior to the seminar will receive a 50% credit minus the cost of your
book (if sent in advance). Cancellation requests received on or after the date of the seminar will NOT be eligible for credit. ALL CANCELLATION REQUESTS MUST BE IN
WRITING ~ NO EXCEPTIONS!