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Canadian Centre for
Swine Improvement Inc.

Request Member Services Account

Please fill out the following fields to request for an account to access Member Services. Fields with an asterisk are required. After submitting your application, an email will be sent confirming your request. We will process your request promptly.

User ID *

First Name: *

Last Name: *

Language:

Email Address *

Password: *

Confirm new password: *

Farm or Business Name: *

Telephone: *

Fax :

Address 1 :

Address 2 :

Address 3 :

City :

Region :

Postal Code :

Country :

Tell us about yourself :*


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