Register

Please fill in the form below.
Should you already be on our system, you do not need to re-register, but will need to submit your details and payment for the current year.
Should you have any queries about your registration please contact
Glynis van der Watt at (011) 706-6939 or cpdalphapharm@insightmed.co.za

I am a/n: * Required
I work in the sector of:  
Which pharmacy are you working at (if any)?
Type in the first part of the pharmacy name, and select the matching option from the list presented.
(* Required if you are an Alpha Pharm Retail Marketing franchise member)
Preferred Language
English Afrikaans
Title  
First Name * Required
Known As  
Surname * Required
Maiden Name  
Birth Date Format: YYYY/MM/DD
Race  
Sex
Male Female
Country * Required
ID Number / Passport Number * Required (Passport number allowed if outside SA)
Tel Number * Required
Cell Number
Fax Number
Email Address * Required
Postal Address * Required
Pharmacy Council Number * Please enter
at least one of
these numbers
PSSA Number

Online Access

All participants have online access to modules and results, and also receive hard copies via post.
Tick here if you do not want to receive any hard copies of modules and result letters.

Payment Method
(see fees below)

* Required for new registrations

None (Alpha Pharm Retail Marketing franchise member)
Direct Deposit - see account details below
Credit Card - click here for the credit card form

Bank account details for direct deposit:
Pharmaceutical Society of SA
Standard Bank Arcadia Branch Code: 010845
Account Number: 013 045 148

Please fax or email your deposit slip, together with your full name and pharmacy council registration number, to Dinette at (012) 470 9556, or adl@pharmail.co.za

Fees:

Alphapharm Members

FREE OF CHARGE

Pharmacists - PSSA members (independent pharmacies with no account at an Alpha Pharm wholesaler) R2 780.00 (VAT inclusive)

Interns and Registered Pharmacists Assistants - PSSA members

R2 340.00 (VAT inclusive)

Other Southern African Countries

R2 880.00 (VAT exempt)

Non-members

R3 560.00 (VAT inclusive)