Membership Checkout - Canadian Sleep Society (CSS)

Membership Information

You have selected the Professional membership level.

"Professional member" means a member who is a clinical or research health professional working in or interested in sleep research and/or sleep medicine. A professional member needs to be designated as such within their province and be a member of their provincial or national college that is formally recognized. For greater clarity, this means an academic member (PhD, MA, MSc), a physician, a clinical psychologist or a nurse that will need to provide their license number when applicable.

The price for membership is $130.00 per Year.

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NAME OR ORGANIZATION NAME

Org. address 1

Org. address 2

Org. city

Org. province

Org. country

Org. postal code

Org. phone

Org. website

Salutations

Degree(s)

Area(s) of interest

Your Profession

License Number

Proof of Certification

License Number

Proof of Certification

License Number

Proof of Certification

Do you agree to be contacted to give a talk to the CSS students to share with them your professional experience in the field of sleep?

Do you agree to be contacted to offer continuing education activities?

License Number

Proof of Certification

Medical Director Name

License Number

Upload credentials in Sleep Medicine and provincial accreditation
by the Provincial College of Physicians and Surgeons or Hospital Accreditation.

Medical Director Name

License Number

Upload credentials in Sleep Medicine and provincial accreditation
by the Provincial College of Physicians and Surgeons or Hospital Accreditation.

Do you want to set up automatic renewals?

If you leave this box checked, your membership will automatically renew every year at $130.00 per Year.

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