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* Mandatory fields
*First name
Middle Initial
*Last name
Personal or Direct Email
This field is meant for communication with LIA and not meant for the public.
Personal or Direct Phone
This field is meant for your phone number (work or personal) so that we can contact you about LIA. This phone number will be accessible to other members, but not the public.
*Organization Name
Irrigation-related company or organization.
Organizational Title
Organizational Website
This is the website you will want potential customers to use and will be displayed in the public directory.
*Organizational Email
This is the email address you will want potential customers to use and will be displayed in the public directory.
*Organizational Phone
This is the phone number you will want potential customers to use and will be displayed in the public directory.
*Street Address
This would be your best mailing address. The City, State, and Zip will be used in the public directory.
*City
*Zip Code
*Amount ($USD)
Payment frequency
Comment
 

(C) Louisiana Irrigation Association, All Rights Reserved
Louisiana Irrigation Association is a 501(c)5 non-profit organization.

921 Industry Rd. | Kenner, LA 70433 | (504) 715-6471

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