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The following information is required by CPhA to register you as a subscriber. Once you submit the information below, we will send you a username and password on the email address provided. By default your username will be your “full name” unless you request a specific username through the form below.

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I have completed the following smoking cessation training (please select from the list below)

If you selected "other" in the drop down list above,
then please describe the type of "training" you took

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