Skip to Content
Close Icon

Convention Registration Form

Contact Information

- Indicates required fields

Business/School Information
Convention Registration Type
Full Registration
Early Bird Pricing
(Before August, 13th 2021)
Regular Pricing
(After August, 13th 2021)
SDPhA Member
SDAPT Member
Pharmacy Tech (non-SDAPT)
Pharmacy Student
Non-SDPhA Member
Credit Card Administration Fee
Credit Card Information
Membership fees total to $100. By placing your card information and submitting this form, you give SDPhA permission to charge $100 to your card.
An administrative fee of 3% will be applied to all transactions.