Personal Information:

Last Name:            First Name:

Date of Birth:

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e-mail address:   Gender: Select Female Male

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CPFI Statement of Faith

     We believe the Bible, in its original languages to be the inspired, inerrant word of god, the only infallible and authoritative rule of faith and conduct.

     We believe in one God, maker of all things, eternally existent as: Father, Son and holy Spirit - the Holy Trinity.

     We believe in the deity of our Lord Jesus Christ, true man and true God; conceived of the Holy Spirit, born of the virgin Mary.

     We believe the Lord Jesus lived a sinless life, performed miracles, was crucified for our sins, was buried, bodily resurrected, and ascended to the right hand of the Father.

     We believe that man is made in the image of God and that since the fall, all men are born as sinners unable to save themselves.

     We believe in the personal salvation of believers through the substitutionary sacrificial death and shed blood of Jesus Christ - being justified by faith alone.

     We believe in the future return of the Lord Jesus in power and glory.

     We believe in the presence and power of the Holy Spirit, indwelling each believer, transforming us and enabling us to live a Godly life.

     We believe in the bodily resurrection of the just and the unjust; those who are saved to everlasting blessedness and those who are lost unto the resurrection of damnation.

     We believe in the Spiritual unity of believers in our Lord Jesus Christ.

Personal Affirmation:

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Please type that you ACCEPT or REJECT the CPFI Statement Of Faith:

Professional Information:

Graduate of (professional university):   Year: Select 2006 2007 2008 2009 Other

Specialties (board certification):

CPFI category (choose all that apply): Select One Practicing Pharmacist Academic Student Missionary Pharmacy Technician Associate Member

Professional Affiliations (choose all that apply): Select One APhA AACP ASCP ASHP ACCP ACA State Assn. Rho Chi

New Member Fee is $35.00 (includes t-shirt).  Shirt Size: Select Small Medium Large X-Large XX-Large

Renewing Member Fee is $20.00

After completion of this form and receipt of appropriate payment your CPFI membership will be activated.  Please submit a CHECK made payable to CPFI ~ UH COP to CPFI president Karyn Hemphill or vice-president Dena Johnson.  THANKS!