Go To Arias

Member
Registration / Payment
Form

ARIAS - Representing Current and Past Redshaw users of  PC Elite, Master, Classic and
All Redshaw Users Migrating to ebix.global, ebix.one, ebix.asp and other ebix systems.

804-674-4899
877-674-4899 Toll Free

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Agency / Company Info | Member Info | Member Fees | Info | Billing Info | Member Benefits


You Are Registering For Arias Membership
We Accept Visa / Master Card and American Express

(ie users may print this form)

Agency / Company Information

Agency / Company

Address

City/Province St. Zip

Phone Fax

E-Mail

Person Completing Form


User / Agency / Company Information

Yes Sign Me Up As A Member

Select the platform(s) you currently run - this helps us understand the range of our members.

Elite Master Classic ebix.global ebix.one ebix.asp Insight Insurenet
Infinity Applied Agena/AFW AMS/Sagitta AMS/Other instar SIS Doris
Gray Shading Represent Systems Qualified For Full Arias Member
Redshaw Users Migrating to ebix.one stay with the Arias user group.

All Other Systems May Qualify For Associate Membership for just $99.00.


Membership Fees

Please Complete The Section That Applies To Your Company/ Firm.

New Member
Existing Member - Renewal

 
 
 
 

Agency - User Group Members

# Users
(fyi only)
Cost
(Prices are US$)
Total
To Be Billed To You

Arias Member -
Users of Redshaw, ebix.Global & ebix.One

$295 $

 

Associate Member -
Previous Users of Redshaw or Other Delphi Products

$99 $

 

Vendor Member -
Vendors who do not compete with ebix and provide services to our members.

$199 $
Member  Notes
Enter Any Special Request or Comments about your Member Registration Below
Indicate any Special Needs and Comments


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and Their Title / Responsibility

1. Name Title

2. Name Title

3. Name Title

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Billing Information      
Master Card
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Expiration Date
(ie: mm/dd/year)

Name On Card
Exactly As It Appears

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You Will Receive An E-mail Confirmation

From User Group Headquarters For The Total Amount
That Will Be Billed To Your Visa or Master Card
CLICK YOUR BACK BUTTON AFTER YOU SUBMIT THE FORM

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