Membership Checkout - Canadian Sleep Society (CSS)

Membership Level change

You have selected the Emeritus membership level.

"Emeritus member" means a member who has reached the age of sixty five (65), has been a member of the Corporation for a minimum of ten (10) continuous years and granted an emeritus membership by the Board of Directors. At registration, an emeritus member needs to provide their date of birth;

The price for membership is $40.00 per Year.

Do you have a discount code?

Account Information Already have an account? Log in here

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

More Information

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

License Number

Proof of Certification

License Number

Proof of Certification

License Number

Proof of Certification

License Number

Proof of Certification

Birth Date

I have been a member for a minimum of ten (10) continuous years

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 $40.00 per Year.

Payment Information We accept all major credit cards

Card Number

Expiration Date

CVC

Discount Code

Make a Donation $

Processing...