Mobile Phone Services Application Form

Use the form below to apply for PSJ’s Mobile Services Plans.

For further information please contact the PSJ secretariat
Email: support@pharmasocietyjamaica.com
Tel: (876) 978-4103/4199 | Fax: (876) 978-7280

Proof of payment may be faxed to PSJ or Scanned / Photographed and attached to application form.


Your Name (required)

Your Email (required)

Mobile Number (required)

Select the type of calling plan you wish to initiate

Attach scanned copy of lodgement slip

Amount Paid / Lodged (JM$)

Payment Method

Cheque #

Other

Mailing Address




Country: