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Fill out this form on-line, print and mail along with your check made out to OSHP.
Please check if any of your information has changed.
Name (Last, First, MI)
Address
Address2
City, State, Zip
Home Phone
Work Phone
E-mail
Confirm E-mail
Employer
Title/Position
Date of birth
Sex
OK License #
District Affiliation
College of Pharmacy Attended or
Attending
Yr. Graduated or
Expected Graduation
Last Degree
Preferred Mailing
Membership Type (New)
Membership Type (Renewal)
 
Comments, etc.



Dues paid after July 1 extend membership through the end of the following calendar year.

Oklahoma Society of Health-System Pharmacists
P. O. Box 2371
Oklahoma City, OK 73101-2371

Updated: 5-21-2012

Last Updated on Wednesday, 30 October 2013 14:47
 
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