ASHP Products and Services 2009 - (Page 34) 34 Membership Application THREE WAYS TO JOIN! Online www.ashp.org Phone 866-279-0681 Mail ASHP Payment Center P.O. Box 17693 Baltimore, MD 2129 Join ASHP online and save 5%! Enter discount code “SAVE 5” DATE MM D D Y Y Y Y Please print or attach your business card. First Name M.I. NEW MEMBER PROFILE Last Name Title/Position Business/School Name Business/School Address City/State/Province/ZIP/Country ASHP Membership Categories Please choose one. ❑ Active Full Member (A) $240 For pharmacists who are licensed to practice in the United States and its Territories. ❑ Supporting Associate* (SA) $240 For non-pharmacists who support the mission of ASHP. ❑ International Associate* (IA) $240 For pharmacists and non-pharmacists interested in pharmacy who reside outside the United States and its Territories and are not U.S. citizens. Airmail service outside the U.S. and Canada is available for an additional $182 per membership year. ❑ Joint Member/Spouse (J) $375 ($240 + $135) One spouse pays full member dues; the other pays a reduced rate. ❑ Technician w/AJHP®* (TJ) $185 For individuals involved in pharmacy support roles. Includes an AJHP® subscription. ❑ Technician* (T) $75 For individuals involved in pharmacy support roles. ❑ Retired (R) $85 For previous Active Full Members age 65 and older. Graduation date required for any box checked below. Business Phone Home Address City/State/Province/ZIP/Country Home Phone Preferred Mailing Address Preferred E-mail Address ❑ Home ❑ Business/School Business Fax Home Fax Preferred State for House of Delegates elections, if different than preferred mailing address Providing your e-mail address allows you to receive timely updates on ASHP and pharmacy-related news and information. ASHP does not sell or distribute e-mail addresses of members. Recruiter’s ID# and Name ASHP SECTION(S) Section membership is included at no aditional charge to all members. You may join as many Sections as you wish, with full access to the specialized news, information, and services of each. If you choose more than one Section, please indicate your preferred Primary Section in the space provided. In your Primary Section, you’ll enjoy voting privileges for electing Section leadership and other matters concerning elected positions. SECTION I WISH TO JOIN MY PRIMARY SECTION ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Section of Clinical Specialists and ScientistsSM Section of Home, Ambulatory, and Chronic Care PractitionersSM Section of Inpatient Care PractitionersSM Section of Pharmacy Practice ManagersSM Section of Pharmacy Informatics and TechnologySM PAYMENT OPTIONS Pay dues on a monthly basis with a credit or debit card. You will be charged monthly for 1/12 of the membership fee. If your membership cycle is more than 12 months, your dues will be divided by the number of months in your cycle beginning the month you join. To participate in automatic monthly billing, provide your credit or debit card number and agree to the terms below. Method of Payment: (Please choose one.) ❑ Annual Payment ❑ Monthly Payment* All payments must be drawn on a U.S. bank in U.S. dollars only. Make all checks payable to ASHP. ASHP Membership Total Airmail Service (Optional for international associates only—add $182) TOTAL PAYMENT ❑ Check is enclosed for $ ❑ U.S. Purchase Order # attached; Please issue an invoice. ❑ Charge to my: ❑ VISA ❑ MasterCard ❑ Discover ❑ American Express Account # Exp. Date Signature (required) * TERMS FOR MONTHLY PAYMENT: I authorize ASHP to charge my credit/debit card as indicated for my membership dues payment. For monthly billing, my credit card will be charged one twelfth (1/12) the annual dues fee each month by ASHP. This authorization to charge my credit card will continue until I e-mail ASHP, custserv@ashp.org, to discontinue. ❑ Student(s) (S)* $38 Graduation Date: For individuals enrolled in a full-time undergraduate or graduate pharmacy program in an accredited U.S. college of pharmacy. For New Practitioners in the 1st through 5th year after graduation, please check box below: $ $ $ ❑ New Practitioner, 1st yr. (G1) $85 Graduation Date: ❑ New Practitioner, 2nd yr. (G2) $153 Graduation Date: ❑ New Practitioner, 3rd yr. (G3) $199 Graduation Date: ❑ New Practitioner, 4th yr. (G4) $240 Graduation Date: ❑ New Practitioner, 5th yr. (G5) $240 Graduation Date: *Non-voting membership categories. Signature (required) Print Name ASHP strongly encourages membership in ASHP’s affiliates. For more information on the affiliate nearest you, visit us online at www.ashp.org, or call 301-664-8607. Annual active membership dues are $240, of which $110 is for a subscription to AJHP®. A portion of the ASHP dues is not deductible as an ordinary and necessary business expense to the extent that ASHP engages in certain lobbying activities. For U.S. tax returns, the non-deductible portion of ASHP dues for 2009 is 35%. Payments to ASHP are not deductible as charitable contributions for federal income tax purposes. However, they may be deductible under other provisions of the Internal Revenue Code. © 2009 American Society of Health-System Pharmacists®. Prices Subject to Change. ORDER BY PHONE 866.279.0681 | FREE SHIPPING IN U.S.A. http://www.ashp.org http://www.ashp.org http://www.ashp.org
Table of Contents Feed for the Digital Edition of ASHP Products and Services 2009 ASHP Products and Services 2009 Contents AHFS Drug Information Drug Information Compounding Sterile Preparations Management Clinical References Professional Practice Patient Safety Complementary and Alternative Therapy Pharmacokinetics / Pharmacogenomics New Practitioner and Student Resources Pharmacy Technician Resources AJHP ASHP Meetings Membership Application ASHP Directory Index ASHP Products and Services 2009 ASHP Products and Services 2009 - ASHP Products and Services 2009 (Page Cover) ASHP Products and Services 2009 - Contents (Page Contents) ASHP Products and Services 2009 - Contents (Page 1) ASHP Products and Services 2009 - Contents (Page 2) ASHP Products and Services 2009 - AHFS Drug Information (Page 3) ASHP Products and Services 2009 - AHFS Drug Information (Page 4) ASHP Products and Services 2009 - AHFS Drug Information (Page 5) ASHP Products and Services 2009 - AHFS Drug Information (Page 6) ASHP Products and Services 2009 - AHFS Drug Information (Page 7) ASHP Products and Services 2009 - Drug Information (Page 8) ASHP Products and Services 2009 - Drug Information (Page 9) ASHP Products and Services 2009 - Drug Information (Page 10) ASHP Products and Services 2009 - Compounding Sterile Preparations (Page 11) ASHP Products and Services 2009 - Compounding Sterile Preparations (Page 12) ASHP Products and Services 2009 - Compounding Sterile Preparations (Page 13) ASHP Products and Services 2009 - Management (Page 14) ASHP Products and Services 2009 - Management (Page 15) ASHP Products and Services 2009 - Management (Page 16) ASHP Products and Services 2009 - Management (Page 17) ASHP Products and Services 2009 - Clinical References (Page 18) ASHP Products and Services 2009 - Clinical References (Page 19) ASHP Products and Services 2009 - Professional Practice (Page 20) ASHP Products and Services 2009 - Professional Practice (Page 21) ASHP Products and Services 2009 - Patient Safety (Page 22) ASHP Products and Services 2009 - Complementary and Alternative Therapy (Page 23) ASHP Products and Services 2009 - Pharmacokinetics / Pharmacogenomics (Page 24) ASHP Products and Services 2009 - Pharmacokinetics / Pharmacogenomics (Page 25) ASHP Products and Services 2009 - New Practitioner and Student Resources (Page 26) ASHP Products and Services 2009 - New Practitioner and Student Resources (Page 27) ASHP Products and Services 2009 - New Practitioner and Student Resources (Page 28) ASHP Products and Services 2009 - New Practitioner and Student Resources (Page 29) ASHP Products and Services 2009 - Pharmacy Technician Resources (Page 30) ASHP Products and Services 2009 - Pharmacy Technician Resources (Page 31) ASHP Products and Services 2009 - AJHP (Page 32) ASHP Products and Services 2009 - ASHP Meetings (Page 33) ASHP Products and Services 2009 - Membership Application (Page 34) ASHP Products and Services 2009 - ASHP Directory (Page 35) ASHP Products and Services 2009 - Index (Page 36) ASHP Products and Services 2009 - Index (Page 37) ASHP Products and Services 2009 - Index (Page 38)
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