Complete your application
All sensitive information will be held in strict confidence. Please complete all pages of form. Information should be typed, or clearly printed. Membership is effective upon receipt of your completed application form and full payment pending the approval of The Neighbourhood Pharmacy Association of Canada Council of Representatives.
- Associate dues are based on Annual Sales to The Neighbourhood Pharmacy Association of Canada Retail Members, either directly or through wholesalers.
- An Associate is defined as a company with a distinct name and/or division that has an independent sales and marketing team.
- Becoming and Associate entitles each company to request one appointment with each The Neighbourhood Pharmacy Association of Canada Retail Member during the The Neighbourhood Pharmacy Association of Canada Annual Executive Exchange Conference.
You can download a PDF of the Associate application form or please fill out the following: