1. 2010 Association Dues Invoice
January 1 through December 31, 2010
P.O. BOX 41537, BALTIMORE, MD 21203-6537 • 703-739-2330 • Fax 703-836-8982 • www.aacp.org • FEDERAL ID #: 36-2376972
Name: ________________________________
Invoice #:
Please return this invoice after noting any name or address
Address:_______________________________
changes to the left and reviewing your membership
______________________________________ information below. Active and affiliate members can also
______________________________________ renew online at www.aacp.org.
______________________________________
Phone: _______________________________
Fax: __________________________________ Email: ____________________________________________
Status: Section: (select up to 2) Council: Special Interest Groups:
(select all that apply)
See reverse ___ (1) Biological Sciences ___ (COD) Deans ___ (AFO) Administrative and Financial Officers
for definitions ___ (2) Chemistry ___ (COF) Faculties ___ (CC) Curriculum
___ (3) Continuing ___ (DEV) Development Directors
___ (A) Active Professional Education ___ (ET) Ethics
___ (L) Affiliate ___ (4) Libraries/Educational ___ (GP) Geriatric Pharmacy
___ (T) Student, Resources ___ (GLOB) Global Pharmacy Education
Resident, ___ (5) Pharmaceutics ___ (HIST) History of Pharmacy
Fellow ___ (6) Social and Administrative ___ (LI) Laboratory Instructors
___ (M) Emeritus Sciences ___ (PH) Public Health
___ (7) Pharmacy Practice ___ (SELF) Self Care Therapeutics/Non-pres medicine
___ (8) Experiential Education ___ (SS) Student Services
___ (SA) Substance Abuse Education & Assistance
___ (TIPEL) Technology in Pharmacy Ed and Learning
___ (WF) Women Faculty
Individual Member Dues: $100 ______________
Student, resident or postdoctoral fellow Dues: $15 ______________
(Please include copy of student I.D. or other verification.)
Joint Member Dues: $150 ______________
Annual memberships for couples using the same mailing address. Each member is entitled to all rights
and services applicable to his/her membership category (e.g. voting privileges).
Joint member’s name _____________________________________
AACP’s news magazine, Academic Pharmacy Now, will be available electronically for download on AACP’s Web site and for
purchase via print subscription. Please indicate if you would like to purchase a 1-year (4-issue) subscription.
Academic Pharmacy Now: $36 ______________
Online access to the American Journal of Pharmaceutical Education (AJPE) is provided to all members who also have the option to
order a complete bound copy to be mailed to them at the conclusion of a volume cycle by including the additional fee as follows:
AJPE–Volume 74 2010 only: $50 ______________
AJPE–Volumes 74 & 75 2010/2011: $90 ______________
AJPE–Volumes 74, 75, & 76 2010/2011/2012: $130 ______________
Optional Contribution ______________
*AACP and AFPE are These contributions will be placed into an AACP endowment fund, proceeds of which will support
501(c)(3) charity organiza- AACP programs in faculty development, leadership development, and research and development.*
tions and your donations
are tax deductible to the
AFPE Contribution ______________
full extent allowed by law. These contributions to support fellowship/scholarship programs of the American Foundation for
Pharmaceutical Education may be included with your total payment payable to AACP.*
TOTAL PAYMENT
☐ Check Enclosed ☐ VISA ☐ MasterCard ☐ AMEX
(Please make all checks payable Account Number __________________________________________ Expiration Date ___________
to AACP in U.S. Dollars)
Signature __________________________________________________________________________

2. INDIVIDUAL MEMBERSHIP
STATUS: SELECT ONLY ONE STATUS ON REVERSE (REQUIRED)
ACTIVE Voting membership available to administrators, faculty, staff, and librarians of regular and associate institutional
members and to professional staff of the Association and the Accreditation Council for Pharmacy Education (ACPE).
AFFILIATE Non-voting membership available to administrators, faculty, staff, and librarians of non-member institutions, employees of
organizational members and corporate members, and others not otherwise eligible for membership in another category.
STUDENT, Non-voting membership available to any professional or graduate degree student enrolled at a regular or associate
RESIDENT, member institution, as well as residents and post-doctoral or clinical fellows.
FELLOW
EMERITUS Non-voting membership granted for life to any former active individual member who has retired from full-time
employment and who has paid membership dues for at least five years prior to retirement.
SECTION: SELECT UP TO 2 SECTIONS ON REVERSE (OPTIONAL)
Biological Sciences
Chemistry
Continuing Professional Education
Experiential Education
Libraries/Educational Resources
Pharmaceutics
Pharmacy Practice
Social And Administrative Sciences
COUNCIL: SELECT ONLY ONE COUNCIL ON REVERSE (OPTIONAL)
DEANS Composed of individual active, affiliate, and emeritus members who are deans or administrative heads (or their designee) of
regular institutional members, who are administrative heads (or their designee) of associate institutional members, who are as-
sociate or assistant deans of regular or associate institutional members who select membership in the Council of Deans, who are
professional staff members of the Association or the ACPE, or who have achieved emeritus status in such positions.
NOTE: Individuals who are associate or assistant deans have the option of selecting membership in the Council of Deans or
Council of Faculties. If you would like to change your council designation, please contact the AACP office.
FACULTIES Composed of all individual active, affiliate, student and emeritus members not eligible for or not holding membership in the
Council of Deans.
SPECIAL INTEREST GROUPS: SELECT ALL THAT APPLY ON REVERSE (OPTIONAL)
Administrative and Financial Officers
Curriculum
Development Directors
Ethics
Geriatric Pharmacy
Global Pharmacy Education
History Of Pharmacy
Laboratory Instructors
Public Health
Self Care Therapeutics/Non Prescription Medicine
Student Services
Substance Abuse Education & Assistance
Technology In Pharmacy Education And Learning
Women Faculty
INSTITUTIONAL MEMBERSHIP
REGULAR Voting membership is available to colleges and schools of pharmacy whose professional degree programs have been granted full
or candidate accredited status by the Accreditation Council for Pharmacy Education (ACPE).
ASSOCIATE Non-voting membership is available to colleges and schools of pharmacy that have been granted precandidate status by the
Accreditation Council for Pharmacy Education (ACPE).