In-Person Pharmacy Technician Injection Training Program

Pharmacy Technician Injection Training Program

In Person Training
Please note that this form is for the Pharmacy Technician In-Person Injection Training session only
- Further details on the session will be sent to you once registration is confirmed.
- Note that registration will be on a first come first served basis and is contingent on you completing the Online Independent Study Content portion of the program.
- If you have not completed the Online component you can registrer for it by following this link: Injection Training - Online Independant Study
- If you are enrolled in the online training portion of the program but have not yet completed the modules, you may still register for an In-Person Session. You must have all online modules completed prior to the date of the in-person session for which you have registered.
Cost of program: $150 + HST
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Pharmacy Technician Registration Number*
Please select a date and location of the training session you would like to attend*
Subtotal
HST
Amount Owing

Registration Payment*

CADDescription

Credit Card (VISA or Mastercard only, cannot accept AMEX or Visa Debit)
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

This information is collected and maintained by the School of Pharmacy to administer the Pharmacy Technician Injection Program as accredited by the Newfoundland Labrador Pharmacy Board and use for no other reason. The information on this form is collected under the authority of the Access to Information and Protection of Privacy Act, 2015 (SNL2015 Chapter A-1.2). Questions about the collection and use of this information may be directed to the Senior Administrative Office, School of Pharmacy at 709-864-7128 or pharminfo@mun.ca.
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