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General Assembly Guild Kevin Colgan Edward Donnelly Dave Hicks Frank Kokaisl James Owen Consulting Inc. Scott Meyers Michael Short Charles Turck Michael Weaver Patricia Wegner Thomas Westerkamp Springfield Society Scott Bergman Dan Ciarrachi Kenneth Foerster Linda Fred Ann Jankiewicz Jan Keresztes William McEvoy Anna Nowobilski-Vasilios Michael Rajski Carrie Sincak Avery Spunt Capitol Club Pete Antonopoulos Jered Bauer Robert Bogash Rauf Dalal Kathy Komperda Huzefa Master * ICHP PHARMACY ACTION FUND CONTRIBUTION LEVELS* Capitol Club Ramesh Patel Edward Rainville Christina Rivers Jennifer Rogers Michael Ruzevich Miriam Mobley Smith JoAnn Stubbings Beverly Tuck Paul Zega Lincoln League Margaret Allen Sheila Allen Peggy Bickham Jaime Borkowski Jill Burkiewicz Donna Clay Sandra Durley Elizabeth Engebretson Michael Fotis Jacob Gettig Kristen Goliak Todd Karpinski Despina Kotis Mary Lee Janette Mark Bhavini Patel Jon Pearion Jennifer Phillips Fred Prillaman Edward Rickert Angela Riley Lincoln League Roy Roselund David Slatkin Heidi Sunday Cathy Weaver Barbara Yahn Grassroots Gang Michael Allen Orapin Chullasavock Scott Drabant Jennifer D’Souza Joann Haley Charlene Hope Travis Hunerdosse Peggy Janiszewski James Jansen Zahra Khudeira Stephanie Lammi John LeGrand Nan Lundquist Holly McMaster Kenneth Miller Leia Roeges Kathryn Schultz Julie Stein-Gocken Darlene Wiegand Cindy Wuller Steven Zielinski Contributor Yinka Alaka Anchalee Ardharn Bob Barger The above contributions consist of donations from the past 12 months. Contribution Levels: General Assembly Guild $1000 & more; Springfield Society $500 - $999; Capitol Club $250 - $499; Lincoln League $100 - $249; Grassroots Gang $50 - $99; Contributor $1 - $49. Contributor Greg Biedron Don Brower Diana Brubaker Lari Cavallari Jo Driver Brooke Griffin Patricia Gutierrez Margaret Hanzel Joan Hardman Tim Hook Jeanette Jiang Mary Ann Jocom Sue Kim Kati Kwasiborski Benjamin Le Emily Lin Lisa Lubsch John McBride Kathleen Mikrut David Miller Karen Nordstrom Gary Peska Tamkeen Quraishi Peggy Reed Maribelle Regala John Skaggs Debbie Stake Lucas Stoller Vicki Velez Peter Vlasses Rose Waleska Marie Williams Karyn Zyvan ICHP PHARMACY ACTION FUND You may mail your contribution to: ICHP Pharmacy Action Fund, 4055 N. Perryville Road, Loves Park, IL 61111-8653 or contribute online: www.ichpnet.org/public_policy/ichp_pharmacy_action_fund/donation_form/ I have enclosed the following contribution with an enclosed check to the ICHP Pharmacy Action Fund. ___ $25 ___ $50 ___ $100 ___ $250 ___ $500 $______ please specify if other than above. Total amount enclosed: $___________ Name ____________________________________________________________________________________________________ Address ______________________________________________________________________________________________________________ City/State/Zip Code ____________________________________________________________________________________________________ Telephone __________________________________________ E-mail __________________________________________________________ Contributions to the ICHP Pharmacy Action Fund are not considered charitable contributions by the IRS. 30 July 2011 | KeePosted | www.ichpnet.org
MEMBERS LOVE ICHP BUCK$ & DISCOUNT$! Membership Renewal and Recruitment Options ICHP Members can earn ICHP Bucks and Valuable Dues Discounts Rebates are paid in ICHP Bucks and can be used for membership dues, meeting registrations, or other ICHP products and services. Dues Discounts When You Recruit New Members (Plus ICHP Bucks, too!) Number Recruited* Discount on Dues 2..............................................15% 3..............................................35% 4..............................................55% 5..............................................75% 6.............................................100% *Must be same membership category or higher as recruiter. Membership Application Apple online at www.ichpnet.org _______________________________________________________________ Name and Credentials _______________________________________________________________ Job Title _______________________________________________________________ Date of Birth Male Female _______________________________________________________________ Home Address _______________________________________________________________ City _______________________________________________________________ State Zip _______________________________________________________________ Home Phone Home E-mail Address _______________________________________________________________ Business or School Name _______________________________________________________________ Business or School Address _______________________________________________________________ City _______________________________________________________________ State Zip _______________________________________________________________ Work Phone Fax Phone Work E-Mail Address ICHP Bucks When You Recruit New Members Student/Resident/Retired Technician....$1 ICHP buck rebate Technician/Retired/Recent Graduate 1..$2 ICHP buck rebate Recent Graduate 2.................................$3 ICHP buck rebate Pharmacist/Supporting..........................$5 ICHP buck rebate MEMBERSHIP CATEGORY Check the category for which you are applying: Pharmacist: $95 Supporting: $95 Joint: $95 + $50 Recent Graduate 1 st Year: $32 Recent Graduate 2 nd Year: $64 Pharmacy Resident: $15 ICHP Bucks for Multiple Year Renewals for Active & Associate Members 2 year renewal.......$20 ICHP buck rebate 3 year renewal.......$30 ICHP buck rebate 4 year renewal.......$50 ICHP buck rebate LOCAL AFFILIATE MEMBERSHIP Membership in ICHP automatically entitles you to membership in your local affiliate. The ICHP has local affiliates throughout the state. To serve the needs of its membership and to foster communication, the local affiliates serve as regional conduits to the Council. Each affiliate has elected officers and offers continuing education programs convenient to the local membership. Select the society where you live or work from the map and indicate your choice below. Local Affiliates. Please choose one: Rock Valley Society (1) Sangamiss Society (5) Northern Illinois Society (2) Metro East Society (6) West Central Society (3) Southern Illinois (7) Sugar Creek Society (4) CPE MONITOR Student: $10 Technician: $30 Retired Pharmacist: $30 Retired Technician: $15 If you plan on obtaining continuing pharmacy education credit, we strongly encourage you to provide your NABP ID# and birthday. Beginning in 2012, this information will be required by any participants seeking CPE credit. Visit www.ichpnet.org/cpemonitor for information about CPE Monitor and how to obtain your NABP ID. ______________________________________________________________ NABP ID# Birthday (MM/DD) Preferred Mailing Address: Home Business Do you wish to be excluded from mailing lists advertised for sale? Yes No METHOD OF PAYMENT Payment must accompany application. Checks must be drawn on a U.S. Bank and made payable to ICHP. Credit card payment may be faxed to (815) 227-9294. My check for $_________________ is enclosed. Charge to my: VISA MasterCard American Express Discover ____________________________________________________________________ Account # ____________________________________________________________________ Expiration Date (month/year) CVV2 Security Code Number ____________________________________________________________________ Cardholder Name Cardholder Signature ________________________________________________________________ Billing Address for Credit Card KEEPOSTED ICHP has gone digital with the KeePosted newsjournal. Your membership includes free online access to all issues (10 per year). You may purchase a print subscription for $30 a year. YES, I want a print subscription of the KeePosted mailed to me. I understand that these issues will be printed by the ICHP office. Pharmacist, Recent Grad, & Resident Applicants ______________________________________________________________ Graduation Date Degree ______________________________________________________________ College of Pharmacy ______________________________________________________________ Residency Program Site RETURN YOUR APPLICATION WITH PAYMENT TO: Illinois Council of Health-System Pharmacists 4055 N. Perryville Road Loves Park, IL 61111-8653 Phone (815) 227-9292 Fax (815) 227-9294 www.ichpnet.org Payments to ICHP are not deductible as charitable contributions for Federal Income Tax purposes. However, they may be deductible under other provisions of the Internal Revenue code. A portion of ICHP dues is not deductible as an ordinary and necessary business expense to the extent that ICHP engages in certain lobbying activities. For U.S. tax returns, the nondeductible portion of ICHP dues for 2011 is 90 percent. ICHP Federal Tax ID# 36-2887899 Image Media Release: By joining ICHP, you are giving ICHP permission to use photographs or video of yourself taken at events. ICHP intends to use such photographs and videos only in connection with official ICHP publications, media promotions, web sites, or social media sites including but not limited to Facebook, Twitter, and YouTube, and that these images may be used without further notifying you.
Page 1 and 2: Volume 37 Issue 06 July 2011 ichpne
Page 3 and 4: 2011 Calendar Upcoming Events Regul
Page 5 and 6: Directly Speaking I Beg to Differ!
Page 7 and 8: Feature NPN Cubs Game - Perfect Ble
Page 9 and 10: Educational Affairs Are All Pharmac
Page 11 and 12: Only four programs met this require
Page 13 and 14: Pharmacy Action Fund Not just anoth
Page 15 and 16: ed employers to create regulatory o
Page 17 and 18: GAS From Springfield “It ain’t
Page 19 and 20: ant to the Nurse Practice Act to gr
Page 21 and 22: Institutions with a more establishe
Page 23 and 24: The consensus group suggested that
Page 25 and 26: College Connection - SIUE An Altern
Page 27 and 28: College Connection: MWU Meeting the
Page 29: College Connection: CSU Advantages

KeePosted - ICHP

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