Student Membership Subscription

Please enter information on the form below to process subscription for Student Membership.

Username*

Password*

Retype Password *

First Name *

Last Name *

Organization

Address *

Address2

City *

Country *

County *

Phone

Email *

Comment

Eligibility for PSI membership *

PSI Number

Professional Experience

Current Title/Role *

Current Sctor *

Specific areas of expertise

Number of years of experience

PIER Interests

CPD *

Mentoring *

Advocacy *

Networking *

Site Visits *

Forums on special interest topics *

Are you interested in presenting at PIER arranged events? *

Topics of interest

What are your participation preferences

Evening meetings in Dublin *

Evening meetings outside Dublin *

Weekend meetings in Dublin *

Weekend meetings outside Dublin *

Newsletter *

Webinar *

Donate to Pharmacy Benevolent Fund

I would like to be kept informed of PIER's activities by email *

Yes

I am familiar with, and agree to abide the terms of the PIER constitution as provided on www.pier.ie *

Yes

Payment Information

Price

€

Payment Method

Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Tweets by @PharmacistsIER

Useful Links

Find out more about the PBF and the work they do

Student Membership Subscription

PIER Interests

What are your participation preferences

Payment Information

Useful Links

Latest News

Get in touch

We're Social

Mailing List Signup