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CIPA Affiliate Agent Membership APPLICATION REQUEST

Click here to learn more about our classes of CIPA membership

If you are interested in becoming an Affiliate Agent under an existing CIPA Full or Associate member, please fill out the form below and click SUBSCRIBE. 

A CIPA representative will be in contact with you soon.

Subscription form

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*First name
*Last name
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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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