Pharmacists Society founded in 1898 2008 Membership Application Please mail your check for $20.00 Jaclyn Szalacsi Students are invited to join free. Name___________________________________ Title: RPh----Pharm.D----Other________ Current Position: Owner----Staff---- Student Address____________________________________ City_____________________State______Zip______ Phone__________________________ E-mail__________________________ Pharmacy/Company Name:_____________________ Don't forget! Annual dues include all membership meetings, C.E.'s (with PSSNY Membership) and the newsletter! Fill out, print and mail this |
Italian-American