PPA - Online Form

The Pennsylvania Pharmacists Association is a professional membership society of registered pharmacists, certified pharmacy technicians, and pharmacy students who reside, work, attend college, or are interested in pharmacy in the Commonwealth of Pennsylvania.

CURRENT ISSUES &
UPCOMING EVENTS

ONLINE REGISTRATION FORM

Pittsburgh Law Review Registration Form
Held at Duquesne University May 20, 2008

***Registration deadline is May 12, 2008*

After completing PART 1 of this form and clicking submit, you will be directed to our Secure Payment Center to finish your registration.

Name

Home Address

School Name

School Address

Email Address

Please register me for Pittsburgh Law Review on May 20

$90.00 - I am a member of PPA

$125.00 - I am NOT a member of PPA

$98.00 - I want to join PPA and have added the additional dues amount to my submitted payment.

Space is limited for each class. Registrations are accepted on a first-come, first-serve basis. No refunds will be made for cancellations received after May 12. Refunds prior to this date are subject to a $25 administration fee. Requests for refunds may be faxed to 717-236-1618 or emailed to ppa@papharmacists.com, or mailed to the address below.

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Pittsburgh Law Review Registration Form Held at Duquesne University May 20, 2008

**Registration deadline is May 12, 2008 After completing PART 1 of this form and clicking submit, you will be directed to our Secure Payment Center to finish your registration.

Pittsburgh Law Review Registration Form
Held at Duquesne University May 20, 2008

***Registration deadline is May 12, 2008*

After completing PART 1 of this form and clicking submit, you will be directed to our Secure Payment Center to finish your registration.