Join / Renew Membership - American Association of Indian Pharmaceutical Scientists (AAiPS)

Please make sure to provide the correct email address. You'll receive meetings and other events announcements via email.

Renew Membership

Account Information

*=Required Field

Salutation: *

First Name: *

Middle Name:

Last Name: *

Type of Membership:

Email Address (This is your login ID): *

Password (Password should be in between 8 to 20 characters): *

Confirm Password: *
Contact Information

Work Phone:

Cell Phone:

Home Phone:

Fax:

Address:

City:

Zip/Postal Code:

Country: *

State:
Education & Employment Information

Job Title:

Company:

Undergraduate University Attended:

Graduate University Attended:

Highest Degree:

Website: (Eg: http://www.mywebsite.com)

Would you like to serve on an AAiPS Committee? *

Are you a student? *

Note: Please enter the captcha code exactly as mentioned in order to verify and continue.