SINO-AMERICAN PHARMACEUTICAL PROFESSIONALS ASSOCIATION
Membership Application/Renewal Form

(For the year 2007 - 2008)

Fields marked * are required.

Last Name* First Name*
Degree Specialty*
Title Email*
 
Employer*
Business Address
City State
Zip Phone
 
Home Address*
City* State*
Zip* Phone*

Membership fee (nonrefundable)
$30 Regular
$15 Full-time Student or postdoc
$200 Lifetime Member
$1000 Corporate Member

Pay by credit card or PayPal account.
Pay by check (payable to SAPA-GP) through mail. Please write your name on your check, and send it to

SAPA-GP
P.O. Box 224
West Point, PA 19486
USA

Receipt is provided upon request. If you have any questions, feel free to contact SAPA-GP.