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APhA-ASP Membership Form!
Welcome!
Thank you for your interest in APhA here at the University of Georgia! We are excited to welcome you to the APhA family :)
Once you have logged on to www.pharmacist.com and paid your dues for the national and local chapter your total will be $49. If you run into any trouble, please email me at sbr32844@uga.edu
Thanks!!
Name
Name
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UGA email
UGA email
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Year
Year
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P1
P2
P3
P4
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Have you paid your dues? (total: $49)
Have you paid your dues? (total: $49)
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Yes
No
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add "Other"
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Are you a new or returning member?
Are you a new or returning member?
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Date
Time
New member and so excited to be here!!
Returning member woohoo!
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or
add "Other"
…
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