Auburn University
Auburn University
NABP & AACP District III 2008
Meeting Registration
Auburn University
 
 

Please complete the following form and click 'Submit Registration' at the bottom of this page.
A confirmation email will be sent to the email address you use below.

Contact Information

  * Required Fields
* First Name    
* Last Name    
* Organization    
Title  
* Address    
* City    
* State    
* ZIP    
* Email Address of Attendee   
* Phone Number    
Fax Number  
Special Needs, Food Allergies  
Special Meal Requirements  

Check this box if you wish to register for the District III blog

Conference Activities

Below are a few of the local recreational activities available. Please indicate which activities you are interested in. Although the planning committee is not formally organizing these activities, the committee will facilitate communication between attendees interested in the same activities.



Payment Information

 Check here to register - $350
 Check here to include family members/guests in daily activities - $100

Please select payment method below.

 Check

      Please make check payable "AU HSOP" and mail to:

      Ms. Laurie Newton
      Harrison School of Pharmacy
      District III Meeting
      2316 Walker Building
      Auburn, AL 36849

 Credit Card


      To pay by credit card, please contact:

      Harrison School of Pharmacy
      Ms. Carolyn Campbell
      (334) 844-1975
 

   

Total  

$0




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