NYS ACCP Membership
Please complete the below form to register for NYS-ACCP Annual Conference as well as receive membership. You will receive a manual PayPal request at a later date to complete. Please reach out to the E-Board should you not receive a request within one week.
Name *
Title *
Company/Organization *
Home Address (Number/Street, City, State, Zip Code) *
Phone Number *
Email Address *
Are you a pharmacy student or resident?
Clear selection
Please select your registration option (cost includes a one year membership to NYS ACCP): *
Would you be interested in working on one of our NYS ACCP Committees?
Would you be interested in participating in the pharmacist/pharmacy student buddy program at the annual meeting? **This program will take place virtually the evening before the conference**
Clear selection
**Students Only** Which school of pharmacy do you attend?
**Students Only** Do you plan to attend the virtual school mixer during the meeting?
Clear selection
**Students Only** Do you plan to attend the residency panel session?
Clear selection
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