Agency Name

Agency Email Address

Agency ID    (listed on the dues billing invoice):

Amount : 1 to 3 Employees $293.00 4 Employees $377.00 5 Employees $430.00 6 Employees $482.00 7 Employees $534.00 8 Employees $587.00 9 Employees $639.00 10 Employees $722.00 11 Employees $774.00 12 Employees $827.00 13 Employees $879.00 14 to 16 Employees $932.00 17 to 22 Employees $984.00 23 to 29 Employees $1037.00 30 to 49 Employees $1089.00 50 to 99 Employees $1142.00 +100 Employees $1373.00

Voluntary Big I PAC Contribution 

            (listed on the dues billing invoice):$

Portions of your dues are not deductible as an ordinary and necessary business expense to the extent that AIIA and IIABA engage in lobbying activities. The non-deductible portion of your dues for the National Association, IIABA, is 6.2%. The non-deductible portion of your dues for your state association, AIIA, is 7%.

Note: Your BIG I PAC contribution is a non-deductible portion of this statement. BIG I PAC is strictly a contribution of choice. Your participation, or lack of it, does not reflect upon your standing as an AIIA member.