HURRY - SAVE up to $100 by joining today!

SECTION 1: APhA FOCUS Sign-Up
Would you like to receive APhA FOCUS?
Yes!
No, Thank you
EMAIL ADDRESS:

You do not have to sign up for an APhA or IPhA membership to receive APhA FOCUS. If you only wish to sign up for the FOCUS email, click below. Otherwise complete the below form.



If you do not wish to recieve APhA FOCUS, but would like to join APhA or IPhA, complete the below form.



SECTION 2: Contact Information
Mr. Ms. Dr. Other:
FIRST NAME: INITIAL: LAST NAME: SUFFIX:
DESIGNATIONS (e.g., PharmD, RPh):
PREFERRED EMAIL ADDRESS:
(Providing your email address allows you to receive timely updates from APhA and important news and information. APhA does not sell or distribute member e-mail addresses.)
PREFERRED FAX NUMBER:
HOME ADDRESS LINE 1:
HOME ADDRESS LINE 2:
CITY: STATE: ZIP CODE:
HOME TELEPHONE:
WORK NAME: TITLE/POSITION
WORK ADDRESS LINE 1:
WORK ADDRESS LINE 2:
CITY: STATE: ZIP CODE:
BUSINESS TELEPHONE:
PREFERRED MAILING ADDRESS: HOME WORK
COLLEGE/SCHOOL OF PHARMACY ATTENDED: YEAR OF GRADUATION:


SECTION 3: (Required): Membership Category and Practice Setting
Membership Category: (Select One) If you are a Student Pharmacist or a Federal Technician/Technician, please contact the associations directly for the appropriate Member Enrollment Form.
Choose Membership Type:

Discounted pricing will be reflected in total below
Pharmacist - $507:
Out of State Pharmacist - $357:
(Pharmacists educated and working outside of Illinois)
Federal Pharmacist - $379:
Spouse/Partner Pharmacist - $254:
Spouse/Partner's Name:                        
Spouse/Partner's APhA Member ID#:
Spouse/Partner's IPhA Member ID#:   
The Spouse/Partner rate is available to the spouse/partner of full paying Pharmacist members.
Retired Pharmacist - $225:
New Practitioner*
2016/2015 Graduate - $136
2014 Graduate - $257
2013 Graduate - $359
2012 Graduate - $457
2011 Graduate - $507
NOTE: Pharmacists within 5 years of graduation are automatically included in the New Practitioner Network and receive additional benefits.

SECTION 3A: Practice Setting (Required):
(Select One) In what type of setting are you currently primarily practicing? (Please select only one.)


SECTION 4: (Required for APhA or Joint Memberships Only):

Customize Your Member Profile! Please select the Academy(ies) you would like to join (no additional charges apply.)
Academy Sections: APhA has two Academies - APhA Academy of Pharmacy Practice and Management (APhA-APPM) and APhA Academy of Pharmaceutical Research and Science (APhA-APRS).
Visit your 'My Account' page on pharmacist.com to join additional Academies, Sections and Special Interest Groups (SIGs).
APhA-APPM
APhA-APRS

SECTION 5: Credit Card Information (Required):

CREDIT CARD NUMBER:
EXPIRATION DATE: /
CVV2:
Check here if your billing address is the same as your contact info from above.
FIRST NAME: LAST NAME:
BILLING ADDRESS:
BILLING CITY:
BILLING STATE:
BILLING ZIP CODE:
First Year Rate: $


Only click the "Submit Enrollment" button once.
Clicking multiple times may cause your credit card to be charged more than once.
If you have questions about enrollment,
contact us at infocenter@aphanet.org or (800) 237-APhA (2742)


*Offer valid for new members only. Not valid for student pharmacist members.