Cimpa home page

Connected International Meeting
Professionals Association

 
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Tel 1 512 684 0889
Fax 1 267 390 5193

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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To apply for certification, please complete this form, as well as Form 235 and Form 236. Thank you.

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL
How many years have you been using the internet?

Are you a

Do you have any other designations? (CICM, CMP, CMM, CAE, CEM, CCM)

Enter your designation in the space provided below.

How many years have you been involved in the meetings industry?

Why do you want to be a CIMP?

Have you completed Form 235 and Form 236?
Yes No
Would you like to receive periodic updates and announcements?
Yes               No

 
Contact Us
Connected International Meeting Professionals Association (CIMPA)
9200 Bayard Place, Fairfax, Virginia 22032 USA
Tel 1 512 684 0889 Fax 1 267 390 5193
Email us