Associate Member

Corporate Partner Application Form Illinois Collectors Association, Incorp. Post Office Box 33 Normal, IL 61761

The Illinois Collectors Association is excited to announce the inauguration of our Corporate Partner Program for our valued business associates. We are the predominant organization providing educational and networking opportunities for credit and collection professionals throughout the state of Illinois. Our membership includes agency owners, law firms and various other entities involved in the collection industry.

Cost is shown below, benefits are shown on our website. Thank you for your support, whether Platinum, Gold, Bronze, or Silver, we appreciate you.

* First Name

* Last Name

Title

* Organization

* Address 1

Address 2

* City

* State

* Postal Code

* Business Phone

Company Website

* Fax

Best address for sending electronic mail

Corporate Partner membership does not carry voting rights or the ability to serve as an officer of the Association. Voting and Board positions are only available to third party debt collection agency or attorney members.

Platinum Membership ($ 2,000)

Gold Partner ( $ 1500)

Silver Partner ( $ 1000)

Bronze Partner ( $ 500)

* Indicates Response Required