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Membership Application

Please select your preferred method of payment:

Mail Check
You will need to submit an on-line application and then mail in your payment

On-line Credit Card
You will need to submit an on-line application and then
submit your billing and credit card information on-line.

 

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Email: Dawn Fargen

Pharmacy Society of Wisconsin
701 Heartland Trail - Madison, WI 53717
Telephone: (608) 827-9200 - Fax: (608) 827-9292