Caribbean Association of Pharmacists Conference Registration 2019

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This form is designed to enable the registration of persons who are interested in attending the 39th Annual Convention of the Caribbean Association of Pharmacists (Orlando, FL) between 12th and 18th August, 2019.
Please complete all the fields as far as possible and click Submit when done. Payment is required to complete your registration.

If you have any queries, you may contact the CAP Office by email at thecapoffice@gmail.com, and copy to Mrs. Pamela Townsend, Executive Director at ptown39@hotmail.com.

REGISTRATION FEES for Pharmacist Members:
April 2019: $450 USD
May - 12th July 2019: $550 USD
13th July - 9th August, 2019: $650 USD
10th August and Onsite: $750 USD

For Non-members: Add $150 USD to the respective Registration Fee

Accompanying Guest (for social activities only): $250 USD
Accompanying Guest (lunch and social activities): $380 USD
Note: Guests are not entitled to attend CE sessions.

STUDENT REGISTRATION FEES:
April - May 2019: $ 375 USD
June - 12th August 2019: $500

MEMBERSHIP DUES:
Tier A: $30 USD
Tier B: $50 USD
Membership is FREE for pharmacy students.

Information for Membership Tiers may be found at:
https://ww2.cap-pharmacists.com/2019/04/09/cap-new-membership-dues-structure-2019/

(Copy and paste the link into a new window)

Payments may be made by credit card, or bank draft to The Caribbean Association of Pharmacists or via direct deposit. Contact Mrs. Townsend for details for mailing cheques and wire transfers.

Email *

Are you a member of CAP? *

Yes

Surname / Family Name *

Given Name: *

Name of Accompanying Person

Your Mailing Address *

Country of Current Pharmacist Registration or Pharmacy School *

Telephone (work) *

Telephone (mobile) *

Telephone (home)

Name of Next of Kin *

Contact number / email for Next of Kin *

Special Needs: Dietary or other

Please select the registration type that applies to you: *

Member - April registration - $450

Non-member - April Registration - $600

Member - May to 12 July Registration - $550

Non-member - May to 12 July Registration - $700

Member - 13 July to 9 August Registration - $650

Non-member - 13 July to 9 August Registration - $800

Member - Onsite Registration - $750

Non-member - Onsite Registration - $850

Student - April-May Registration - $375

Student - June-August Registration - $500

Other:

If you will be paying your membership dues, or paying for an accompanying guest, please indicate by selecting the appropriate option(s): *

Membership Dues Tier A: $30 USD

Membership Dues Tier B: $50 USD

Accompanying Guest (social): $250 USD

Accompanying Guest (lunch + social): $380

None of the above apply to me

Required

Please indicate the total amount, in USD you will be paying: *

Thank you. To complete your registration, payment may be made via credit card online at https://ww2.cap-pharmacists.com/event/cap-2019-orlando/, or via bank draft payable to The Caribbean Association of Pharmacists (to be sent via postal services), or via direct deposit. Contact Pamela Townsend for details at: ptown39@hotmail.com.

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