Contact Us Contact Us Billing & Mailing Address PO Box 1468 Portsmouth NH 03802 Existing AgencyStart Up Agency First NameLast NameAgency Name(Required)Email(Required) PhoneStreet AddressCityStateZip Code(Required)Years of Experience in P&C InsuranceP&C Carrier 1:P&C Carrier 2:P&C Carrier 3:P&C Volume (Select)0 - 500,000500,000 - 1.25 Million1.25 - 2 Million2 - 4 Million4 - 8 MillionMore than 8 MillionHow did you hear about MAA/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 describe:(Required)Comments or additional information we should know about you:CAPTCHA First NameLast NameEmail(Required) PhoneStreet AddressCityStateZip Code(Required)Years of Experience in Insurance:Insurance Background (select):Direct Writer/CaptiveLife/Financial ServicesAgency ProducerOtherIf you were previously, or are now a direct writer or captive agent, please select:AAA InsuranceAllstateThird ChoiceAmerican Farmers & Ranchers MutualAmerican FamilyAmerican HardwareAmerican NationalAuto 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 agency:How did you hear about MAA/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 describe:(Required)Comments or additional information we should know about you:CAPTCHA