Members Registration

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Member Registration

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Employee Site Login

User ID

Password

Not Sure If You've Already Registered?

Prior to registering for the members only site, please provide your e-mail address or name below to insure that you have not previously registered. If your record is located, you will be provided with the current user id and password needed to gain access to the site. Otherwise, you will need to complete and submit the registration form below.

Or,

Company:
LastName:

New Member Registration

The members only site is available to those individuals directly employed by any of the PIAA's regular domestic, regular international, associate or affiliate member companies. To register for access to the site, to be included in PIAA's online e-mail directory or to receive the weekly Newsbriefs publication, please complete and submit the following information.

Title:		(Dr., Mr., Ms.)
First Name:
Last Name:
Suffix:
Member Company:
Other, specify:
Affiliation:		Employee Board Member
Position Title:
Street address:
City:
State/Province:
Zip/Postal code:
Country:
Telephone:
Fax:
E-mail:

The PIAA has established an online e-mail directory that is only available to individuals registered for the PIAA members only web site. This directory contains the name, title and e-mail address of PIAA member company employees with the ability to search for an individual by first name, last name, full name or company name. Please indicate below if you would like to be added to this directory.

Yes No

Subscribe PIAA Newsbriefs: Yes No

Subscribe PIAA Research Notes: Yes No

Subscribe PIAA Physician Insurers Magazine: Yes No

Questions & Comments: wchao@piaa.us

Modified 04/22/2008