NY State Chapter - ACCP
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Registration for Annual Clinical Meeting of the NY State Chapter of the American College of Clinical Pharmacy.

Pharmacists and other professionals are invited to join us in membership without attending the meeting. To register for the meeting, apply for membership, or renew your membership without attending the meeting:

Make your payment using the PayPal button below and submit the registration/membership request form at the bottom of this page.
YOU MUST DO BOTH. Use the name of the registrant and not the payer on the application.

Please specify your specialty/practice area in the field for "ADDRESS LINE 2". If you are a STUDENT, RESIDENT, or FELLOW, put this information in the "ADDRESS LINE 2" area and put the name of your institution into the "COMPANY/ORGANIZATION NAME" field.

When your registration (or membership request) and payment have been processed, current or new members receive acknowledgement in the form of a welcoming email containing login ID and an initial password. Non-members and check submitters receive an email from the Secretary/Treasurer. To pay by check, complete the application and send your payment to:

Amanda Engle, Secretary/Treasurer, NYS-ACCP
Albany College of Pharmacy & Health Science
106 New Scotland Ave 0B 212Q
Albany NY 12208



PayPal Section:
NYS-ACCP Clinical Meeting Options
Membership Request Form
Please fill in this form and click the Penguin button.
(* = required field)
Prefix: (Mr, Ms, Mrs, Dr, Capt, etc.)
First name: *
Middle name or initial:
Last name: *
Suffix: (MD, RN, PhD, DDS, etc.)
Title:
Company or Organization name:
Home Address: *
Address line 2:
City: *
State: *
Zip/Postal Code: *
Country:
Phone 1:
Phone 2:
Phone 3:
Phone 4:
E-Mail Address: *
Click the PENGUIN to submit form

 

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