If you are a member, you may, login to have your information pre-filled

Submit a Payment or Donate to the Association

Personal Information
First Name
Last Name
E-mail Address
Mailing Address
City
State
ZIP:
Business Name
Payment Amount
    $ Donation, Scholarships — Allows the Association to encourage careers in pharmacy.
    $ Donation, Legislative Fund — Allows the Association to provide an effective advocacy voice in Juneau
    $ General Donation – Supports the Association in general operations and growth
    $ Payment, Continuing Education — APhA Certificate Course or Accredited Joint-Sponsored Activity
    $ Payment, Website Job Posting—($50 Member/$100 Non Member) Email text to akphrmcy at alaska . net
    $ Payment, Print Advertisement—Confirm rate/email text to akphrmcy at alaska . net
    $ Payment, Convention Booth Space ($800)
Payment Information
Credit Card Number

Credit Card Expiration
 /    CVV:
CVV is a 3 digit number on back of your card
Credit Card Type
Please type the word at right:

Not readable? Change text.
 


Privacy Statement
: Alaska Pharmacists Association will not disclose your personal information to third parties without your written consent.