New Members

New member details can be submitted using this form online when paying via PayPal or emailed/mail/faxed to ASAP.

Instructions for Emailed/Faxed Submission

To email, please complete the form below. To fax or mail, please print the completed form and either use the mailing address listed below or fax to ASAP at 610/825-7641.

Costs

Individual membership dues are $750 per year. A corporate membership of $1,600 per year is available and allows an unlimited number of members from the same company.

Please be sure to complete and submit the form below with full member information.

Payment Options

By PayPal: Please use the payment buttons below.

By Check: Mail check for $750 (individual) or $1,600 (corporate) to:

American Society for Automation on Pharmacy

492 Norristown Road, Suite 160 • Blue Bell, PA 19422

If application was submitted online or faxed, please make reference to name listed on application when submitting your check.

Credit Card by Phone: VISA, MasterCard, and American Express are accepted.

Please call ASAP at (610) 825-7783

New Member Details Form

Membership Fees and Payment

Inividual

Indicate member name in "Note to Seller" field during payment.

$750

Member Name
Company Name

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