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Join BCPA
  Application for BCPA Membership

Annual dues: $75.00 (includes CE Broker)
Students: $FREE
Technicians: $40.00
Continuing Education without membership: $25.00 per meeting (thru PayPal, or with cash at meeting). Please bring your receipt to the meeting.

STEP 1: Fill in form and hit the "send form" button

  Name:

Professional license #:

Mailing address:


Home phone:

Business phone:

Employer:

Employer Address:


Sponsor:

Email Address:
                          
STEP 2: Select what you would like to pay for and pay
Payment Options
 OR 
Print form

and mail with payment to the BCPA office:
Aneesh Lakhani/Wayne Linder
Co-Executive Directors
Broward County Pharmacy Association
1932 Weston Road
Weston, FL 33326

STEP 3: Donate to the Scholarship Fund?

 
Payment Options