BILTIR Membership Application

New Membership

Companies are invited to become a member of Bermuda International Long Term Insurers and Reinsurers. Please complete this membership application together with the Form A and Proxy below and submit it with the membership fee payable to BILTIR.

Membership Renewal

Existing member companies wishing to renew on-line, please complete the following information and submit your payment using one of the options listed below.

If there have been any changes to your company details, representative or proxy information, please complete the Form A and Proxy below and submit to BILTIR with your membership renewal fee.

Form A

TO: The Directors of Bermuda International Long Term Insurers and Reinsurers (the “Company”)

We,

, apply to be admitted as a Member of Bermuda International Long

Term Insurers and Reinsurers.

We agree to become a Member subject to the Memorandum of Association and the Bye Laws of the Company and authorize you to enter the following name and address in the Register of Members of the Company:

PROXY (For Full Members only)

TO: The Directors of Bermuda International Long Term Insurers and Reinsurers (the “Company”)

We,

, a Member of Bermuda International Long Term Insurers and

Reinsurers appoint

or failing him/her

as our

proxy to vote on our behalf at all meetings of the Company and at any adjournment thereof.

Signed by or on behalf of the above-named:

Signed by or on behalf of the above-named:

Payment Information

$
Offline Payment

Payment Information

BILTIR Fees:

Member fees for the 2017/18 membership period are $5,500.  The membership period runs from August 1 to July 31 each year.  If you have any questions concerning BILTIR membership, contact secretary@biltir.bm. Please see the payment options below. 

 

Check or Money Order:
Please make payable to Bermuda International Long Term Insurers and Reinsurers and mail to: BILTIR, P. O. Box HM 2536, Hamilton HM BX. Please include reference: renewal fee/company name on the check or money order.

 

Wire Transfer Payments:


HSBC BANK USA


ABA: 021001088 

 

S.W.I.F.T. Code MRMDUS33


for further credit to beneficiary bank: HSBC Bank Bermuda Limited, Hamilton Bermuda,

 

S.W.I.F.T. Code BBDA BMHM


For Bermuda Beneficiary Account 011-045119-501


In the name of Bermuda International Long Term Insurers & Reinsurers


REFERENCE: Membership fees/Company Name.