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2017 Membership Application Louisiana Public Risk Management Association PRIMA www. louisianaprima.org Name of Agency/Company Contact Person Person to be listed on PRIMA s website as a member Title or Position Address Street or P. D. 58-1755236 Linda C. Strickland PRIMA Coordinator P. O. Box 1537 Gonzales LA 70707-1537 Phone 225 644-1451 Fax 225 644-9966 Email Lstrick eatel.net If paying by credit card please complete the following Please check one VISA MasterCard AmEx Account Name on Card...
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Gather all the necessary information and documentation required to fill out the Louisiana Public Risk form.
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Start by providing your personal information such as name, address, contact details, and social security number, if applicable.
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Submit the filled out Louisiana Public Risk form along with any required supporting documents to the appropriate authority or insurance provider.
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