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CIPA Full Membership application REQUEST

The CIPA Full Member Application Window will  be open November 1st - December 1st

If you are interested in becoming a CIPA Full Member, please fill out the form below and click SUBSCRIBE.

When you subscribe, you will receive a confirmation email and a CIPA representative
will be in contact with you to answer any questions you may have regarding membership.

Subscription form

* Mandatory fields
*First name
*Last name
Max size 110 x 110 pixels, larger images will be resized.
*Address 1
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*Business Phone
Cell Phone

Copyright © 2011, Crop Insurance Professionals Association, All rights reserved.

Washington, DC Office

Crop Insurance Professionals Association
174 North Carolina Avenue, SE
Washington, DC 20003
Phone: (202) 215-6645

Membership and Billing Office

Crop Insurance Professionals Association

12023 E CR 6500
Lorenzo, TX 79343
Phone: (806) 577-7193

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