Register for Alpha Pharm Pharmacy Staff Clinical Education Programme

Please Note:

  1. This programme is intended for front shop assistants.

  2. Three different payment options exist for this programme:

    1. The programme is free to staff working at Alpha Pharm franchise member pharmacies

    2. Alpha Pharm shareholder pharmacies may choose to participate in the programme and be debited by their distribution centre. The responsible pharmacist should download and complete this form to choose this option.

    3. All other individuals may pay by credit card or direct deposit for the programme. Fees appear below.

If you have not previously been registered on this programme, and wish to make use of payment options 1 or 3 above, 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

Which pharmacy are you working at?
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
First Name * Required
Known As  
Surname * Required
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

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

Alpha Pharm Retail Marketing franchise member (free)
Direct Deposit - see account details below
Credit Card - click here for the credit card form
I have already paid

Should your pharmacy be an Alpha Pharm shareholder pharmacy, and you wish to be debited by your distribution centre, please do NOT register online, but download and complete this form. A signature is required.

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 ID number, to Dinette at (012) 470 9556, or


Alpha Pharm Retail Marketing Members


Alpha Pharm Shareholders and Account Holders R1 070.00 (VAT inclusive)

Front Shop Assistants - PSSA members (independent pharmacies with no account at an Alpha Pharm wholesaler)

R2 450.00 (VAT inclusive)

Other Southern African Countries

R2 425.00 (VAT exempt)

Mediclinic Participants R2 200.00 (VAT inclusive)