North Carolina Captive Insurance Association

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151 Crest Road
Southern Pines, NC 28387

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2020 NCCIA Owners Forum Registration

Owners Forum Registration Options

As a special incentive for Captive Owners to attend the NCCIA Annual Conference for 2021 special programing and pricing have been approved. You may attend a half day program especially for owners of captives, including a luncheon on Monday afternoon for $200. First time conference attendees in this category can attend the entire conference, that includes everything for $500. Captive owners attending for the 1st time will also receive a free 1 year membership in the NC Captive Insurance Association, a $500 Value, which provides discounted pricing for association events.

Option 1. Download Form and Pay With Check

Download and print the PDF Registration form and send us the completed form with a check via standard mail at the address below.

PAYMENT MUST BE COMPLETED TO OFFICIALLY BE REGISTERED

Mail check and registration form to:
NCCIA
Attn. Diane Waltman
151 Crest Road
Southern Pines, NC 28387

Option 2. Register and Pay online

After Submitting the Online Registration Form below you will be redirected to our payment portal to complete the registration purchase. 

PAYMENT MUST BE COMPLETED TO OFFICIALLY BE REGISTERED

Online Registration Form

If both boxes are checked you may continue with your registration, otherwise see regular registration page
If paying online, you will be redirected to the payment portal after submitting your registration form. If paying by check, Mail your check to the following address: NCCIA Attn. Diane Waltman 151 Crest Road Southern Pines, NC 28387

NCCIA Annual Conference Registration Cancelation Policy

Registration Cancellations for the NCCIA Annual Conference are accepted until August 15th for a full refund minus a $125 processing fee. After August 15th, due to hotel commitments, refunds are not permitted. Contact the Association office prior to August 15th to cancel.

NCCIA Annual Conference Exhibit/Sponsor Annual Conference Cancellation Policy

Exhibitors and Sponsors may cancel participation in the conference prior to June 1st  by contacting the association office. A $500 cancellation fee will be charged for cancellations. Exhibitors and Sponsors cancellations are not accepted after June 1st.