Get Ny Pssny Member Application 2021-2025

Filling out the NY PSSNY Member Application online is a straightforward process that allows you to join the Pharmacists Society of the State of New York efficiently. This guide will walk you through each section of the application to ensure you complete it accurately and effectively.

Follow the steps to complete your application seamlessly.

1. Click the ‘Get Form’ button to download the NY PSSNY Member Application and open it in the designated form editor.
2. Select your member type by marking the appropriate checkbox, such as Active Membership or Student Membership. Be sure to choose the corresponding fee as indicated on the form.
3. If you would like recurring membership, check the box indicating your preference for automatic renewal each year.
4. Fill in your personal details including your name, email address, and contact information. This includes your pharmacy or organization name, business address, and home address.
5. Provide your E-Profile number, license number, date of birth, pharmacy school attended, and graduation year. Additionally, select your current practice setting and position from the options provided.
6. In the contribution options section, you can choose to make voluntary contributions to the PAC, Legal Defense, and Media Fund as you see fit.
7. Calculate the total dues, which will include both your membership fee and any contributions. If you are paying by check, write the check number in the specified box.
8. Enter your credit card details if you choose to pay by card, including the type of card, card number, expiration date, security code, and your signature.
9. After completing all sections, you can save changes, download a copy for your records, print a hard copy, or share the form as needed.

Complete your NY PSSNY Member Application online today to become a valued member of the Pharmacists Society!