2023-24 Pharmacy Student Membership

Renewal Deadline: March 31, 2023

An individual enrolled as a student in a school, faculty or college of pharmacy whereby completion of its academic qualifications would confer a prerequisite for the practice of pharmacy in Newfoundland and Labrador.

Membership Period April 1, 2023 – March 31, 2024

CONTACT INFORMATION

Student Membership is available to students currently enrolled in the MUN School of Pharmacy program.

Student Name*

First Last

Middle Name or Initial

Member's Address*

Address City Province Postal Code

Telephone*

Email Address*

OPTIONAL ADD ON: MINOR AILMENT GUIDELINES | $10
PANL members may opt-in to a one-year subscription to medSask Minor Ailment Guidelines and Patient Self-Care. The subscription runs April 15, 2023 to April 14, 2024 for a member-only rate of $10. More details are available here .pdf.

Optional Add-on: Minor Ailment Guidelines*

Yes, I want the subscription

No, I do not want the subscription

I want to receive member updates, event notifications and other important information via my preferred contact email.*

Yes

Important Notice

Please be advised that PANL uses email as the primary method of contacting members. You will not receive renewal notices and other important information.

Privacy Statement

Your privacy is important to us. PANL does not sell or otherwise provide your personal information to third parties not associated with the provision of PANL services, programs or publications. PANL uses appropriate safeguards to ensure that your personal information remains confidential. I the undersigned, certify that the information contained in this application is complete and correct and authorize PANL to collect, use and share the information contained in this application for the sole purposes set out in the privacy statement noted above.

Student Signature*

Date*

Membership Payment | Online Payment

Price:

Student Membership Fee $50 + hst

Minor Ailment Guidelines

Price:

Please note that this form is used for Pharmacy Student Membership. If you have any questions, please contact PANL Office at 709-753-7881 prior to submitting. If there is an error in selecting the appropriate form and a refund is required, there will be a $15.00 administration fee applied automatically.

Subtotal

$ 0.00 CAD

HST

$ 0.00 CAD

Total

Credit Card*

Card Details

Cardholder Name

To help us match your online payment with your registration form please tell us the legal name on the credit card account used for payment.**

Comments

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2023-24 Pharmacy Student Membership