Member Registration

Are you a pharmacist or pharmacy student of Eritrean origin?

First Name

Middle Name

Last Name

Title (Dr, Mr, Mrs, Ms)

Email Address

Location

Which University/College did you graduate from? (Include all institutions that you got your pharmacy/pharmacy related degree(s) from.)

Which year did you enroll?

What year did you graduate? (If you are still a student, when is your expected graduation year?)

In which sector do you currently work?

If you answered "Other" above, what is your area of work.

Do you agree to abide by EriPCo's code of conduct and membership guidelines?

Yes

Are you able to pay an annual membership fee? – The annual membership fee is $100 or equivalent to $100 in your choice of currency. – For pharmacists who are in transition the annual membership fee is $50 or equivalent to $50 in your choice of currency. – Membership fee is waived for pharmacy students. – Individuals who can not pay the annual fee will be accommodated.

Yes
No

*** Please Note: After submitting this form, you will be forwarded to a page where you will create your own password for your account. Enter the same email you provided above and a password reset link will be sent to your email. With your new password, you can log into My Membership page and make the payment for your subscription level, if applicable.

OK