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Get the free A CERTIFICATE PROGRAM FOR PHARMACISTS & STUDENT PHARMACISTS

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Ly/immunize2016 or complete the form below and mail it with your payment to TPREF 500 Church Street Suite 650 Nashville TN 37219. O. BOX CITY STATE ZIP PRIMARY EMAIL ADDRESS ALL COMMUNICATIONS FOR THE PROGRAM ARE SENT BY EMAIL. ALTERNATE EMAIL ADDRESS TELEPHONE CELL PHONE Current CPR or BCLS Certification Yes No If yes bring a copy of card to Live Seminar TPA Member Yes No PAYMENT Please check one TPA or APhA Pharmacist Member 275 TPA/APhA Nonmember Student Pharmacist 150 Check payable to...
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