Agency Membership Application

Instructions

UIA Membership Dues

# of Employees Annual Cost

1-3 ....................................$750

4-7 ................................... $900

8-10 .................................$1050

11-15 ............................... $1,300

16-20 ................................$1,600

21-24 ................................$2,300

25+ ................................... $2550

Branches ......................... $125

Includes membership in IIABA and PIA

Non-Deductible % per Omnibus Budget Reconciliation Act of 1993 (OBRA 1993) IIABA 20.20% PIA 36.6 2023-2024 local rate 10.4%.

For more information contact Matt Child mattchild@utahia.org

Select An Option

Agency

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist