2018 OPA Membership Form - Join NOW!

I want to be a part of OPA and help advance my profession here in Ohio!

Please note: New members will also be able to take advantage of discounted member rates on upcoming OPA programming!

Please complete this simple OPA membership application.

Basic Contact Information

Name
First Middle
Last
Company Name

PREFERRED CONTACT INFO

PREFERRED Email
(This is the email address that will be used to contact you for all OPA email communications including legislative updates, programming information, the Ohio Pharmacy Newsline, and other important OPA e-bulletins.)
Preferred Address
(This is your preferred mailing address for the Ohio Pharmacist Journal and other important mailings.)
Address
City State Zip
Mobile Phone #

Membership Rate

>>>Please choose the correct Membership Level

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NEW! Automatic Annual Renewal
Check here if you are paying by credit card and wish to sign up for Automatic Annual Renewal. Your dues and any amount your choose to donate to the Pharmacy PAC, OPF, or to your continuing education, that you indicate on this form, will be automatically charged to your credit card annually each year in your month of renewal. Questions? Please contact us at opa@ohiopharmacists.org or 614-389-3236.

Recruiter->
Note: Membership dues may constitute an ordinary and necessary business expense, but are not a charitable deduction. A portion of dues, however, is not deductible as an ordinary and necessary business expense to the extent that OPA engages in state or federal lobbying. The non-deductible portion of dues - the portion which is allocated to lobbying - for the current dues year is 18%.
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