Fast, easy, and secure submission (credit and debit card only).
Call (800)237-APhA(2742) between 8:30am and 5:00pm Eastern (credit and debit card only).
Print and complete one of the following downloadable forms via:
Mail: American Pharmacists Association, P.O. Box 931411, Atlanta, GA 31193-1411
Fax: (844) 390-3782
Pharmacists and Technicians enrollment form
Government enrollment form
If you need assistance, APhA membership is available to answer any questions at (800) 237-APhA (2742), Monday–Friday, between 8:30 am and 5:00 pm Eastern.
Email Inquiries: Contact Us (Note: do not email enrollment forms for security reasons).