Business Liaison Transfer

Under the terms of ACA Business Affiliation, individual benefits are transferable ONLY to the business's liaison (Individual membership) of the Business Affiliation. The business can transfer the balance of this Liaison (individual) membership to another named person by completing the form below: 

Former ACA Liaison Information
We must have a forwarding address for the former liaison, otherwise mailings will continue to their former address.
If ACA Membership is to continue, we will send a renewal invoice. If membership is not to continue, former liaison's membership will lapse immediately.
New ACA Liaison Information
Form Completed By
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