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There are two convenient ways for you to submit your membership application.

1. Online: Simply select the appropriate category below and proceed with your online membership application.

2. By Fax or Mail: It is easy to download the application - Click Here, then complete the form and send with your check or credit card payment to:
CICA, 4248 Park Glen Road, Minneapolis, MN 55416 or fax: 952-929-1318


Questions? Call CICA at (952) 928-4655.


To join via the secure storefront, choose your membership category below:


Name Price  
Captive / Risk Retention Group Membership $700.00
Service Provider Membership $2,000.00
Add-On Membership (must have a $700 Captive/RRG or $2,000 Service Provider member first) $300.00