Board of Directors
Join the ISPA Today!
To join the ISPA, please complete this form below. Or, alternately,
click here for a Word version
here for a PDF version
of our membership application.
With this form, your transaction details will be sent directly to our offices. Upon review, we will contact you regarding billing arrangements.
City, State, Zip
ISPA Membership Dues
Membership is valid for one year from date of payment
(Please select appropriate category)
Active Associate ($175)
1st Year Member ($85)
Technician Support Personnel ($25)
1st Year Pharmacist ($55)
2nd Year Pharmacist ($110)
I am sending an additional:
Please apply this contribution toward (check one)
ISPA Legislative Fund/General Support – assists in grassroots operations
ISPA PAC – used for political contributions to legislative candidates
What are your top three pharmacy issues of concern?
The ISPA will contact you soon for credit card or other billing options.
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Idaho State Pharmacists Association