Membership Checkout - Canadian Sleep Society (CSS)

Membership Information

You have selected the Dentist membership level.

Dentist member means a member who is a dentist, also registered as a member in good standing in any provincial dental college, and who is working in or interested in sleep research and/or sleep medicine. Dentist membership includes compulsory contribution to dental Continuing Professional Development (CPD) fund of $100 per annum.

The price for membership is $250.00 per Year.

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NAME OR ORGANIZATION NAME

Org. address 1

Org. address 2

Org. city

Org. province

Org. country

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Salutations

Degree(s)

Area(s) of interest

License Number

Proof of Certification

License Number

Proof of Certification

License Number

Proof of Certification

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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?

If Other, what is your profession.

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 $250.00 per Year.

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