CQA/ACC Member Guild Insurance InformationPlease complete this form to apply for the 2024/2025 Guild Insurance Program. Even if your guild is already covered by the current insurance program, your guild will still need to complete and submit this form. Your guild must have an active CQA/ACC Guild Membership to apply. Guild membership will be billed with insurance. Membership will be synced with the insurance period coverage.Guild Name(Required)GUILD MAILING ADDRESS (where insurance certificates should be mailed )Street(Required)City(Required)Province(Required)Postal Code(Required)Guild Contact Name For Insurance(Required)Guild Insurance Contact Email Address(Required)Guild Contact Phone Number(Required)Does your guild have a Board of Directors or a President, Secretary and Treasurer?(Required) Yes No Guild Executive (If yes was selected)Guild President NameGuild Secretary NameGuild Treasurer NamePlease note if you click NO then your guild will need to have an executive in place before your guild is eligible for CQA/ACC Guild Insurance.Please select the type of Insurance you would like to purchase(Required) Liability Insurance (only) Liability and Property Insurance Please note we do not offer a stand-alone property insurance.Invoice will be sent to your guild by September 30 and will include insurance and your yearly CQA/ACC membership dues.If you selected liability and property insurance please provide the address where property is stored. You can provide two addresses if items are stored separately.StreetCityProvincePostal CodeSecond address where property is stored (if applicable).Street (2nd)City (2nd)Province (2nd)Postal Code (2nd)
