Membership Checkout - Canadian Sleep Society (CSS)

Membership Information

You have selected the Sleep Team membership level.

RPSGTs (Technologist), Administrative staff, Research coordinators

The price for membership is $90.00 per Year.

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More Information

NAME OR ORGANIZATION NAME

Org. address 1

Org. address 2

Org. city

Org. province

Org. country

Org. postal code

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Org. website

Salutations

Degree(s)

Area(s) of interest

License Number

Proof of Certification

License Number

Proof of Certification

License Number

Proof of Certification

If Other, what is your profession.

Your Profession

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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.

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If you leave this box checked, your membership will automatically renew every year at $90.00 per Year.

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