NY State Chapter - ACCP
nys-accp.echapters.com

Join Us 
   
 

Clinical Pharmacists and other professionals are invited to join us in membership in the New York State Chapter of the American College of Clinical Pharmacy.

NEW MEMBERS AND MEMBERSHIP RENEWALS: Scroll down and submit the application form at the bottom of this page and make your payment using the PayPal button. You must do both.

PLEASE PUT YOUR SPECIALTY/PRACTICE AREA IN THE FIELD FOR "ADDRESS LINE 2". IF YOU ARE A STUDENT/RESIDENT/FELLOW PUT THAT DESIGNATION IN "ADDRESS LINE 2" AND PUT THE NAME OF YOUR INSTITUTION INTO THE "COMPANY/ORGANIZATION NAME" FIELD.

When your payment has been received and your membership is approved (or renewed) you will receive a welcoming email containing your login ID and password.

Annual Membership Dues: $30



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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