Worldsleepsociety.org



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Associate Society Membership Application Instructions

SECTION 1: CONTACT INFORMATION

Provide the name and contact information of the organization (address, phone number, fax number, website address, and email address). Also include the name, telephone number and email address of at least one contact person.

SECTION 2: ABOUT YOUR ORGANIZATION

Briefly describe your organization, including its mission, purpose, values, and goals.

SECTION 3: MEMBER INFORMATION

Provide World Sleep Society with a list of all Sleep Society Members including their name, address, and email. World Sleep Society will send email to your society members with instructions on how to access Sleep Medicine and obtain the discounted World Sleep Society membership. World Sleep Society does not sell, distribute, or release names and email addresses to 3rd parties.

SECTION 4: ORGANIZATION LOGO

Please attach a high resolution digital logo to be used on the World Sleep Society website.

HOW TO SUBMIT YOUR SOCIETY MEMBERSHIP APPLICATION

1. Type all responses to each section in the application.

2. Save a copy for your records.

3. Submit your Associate Society Membership application file by email to: info@

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Associate Society Membership Application

INSTRUCTIONS: Please complete all sections of the application form. Refer to the instruction guide on the previous page for clarification on information expected for each question. You may also email specific questions to: info@.

SECTION 1: CONTACT INFORMATION

Organization Name: ____________________________________________________________

Street Address: ________________________________________________________________

City: _______________________ State / Territory: _______________ Postcode: ___________

Country or Region: ______________________________________________________________

Telephone: ___________________________ Fax Number: ____________________________

Email: _______________________________ Website: ________________________________

Contact Person Name: ___________________________________________________________

Telephone: ____________________________ Email: _________________________________

SECTION 2: ABOUT YOUR ORGANIZATION:

SECTION 3: MEMBER INFORMATION

Please provide an electronic file of the Sleep Society’s members. World Sleep Society does not sell, distribute, or release names and email addresses to 3rd parties. World Sleep Society will send email to your society members with instructions on how to access Sleep Medicine and obtain the discounted World Sleep Society membership.

SECTION 4: ORGANIZATION LOGO

Please attach a high resolution digital logo to be used on the World Sleep Society website. The file can be a PDF, EPS, AI, JPEG or other digital file.

Submit your Society Membership application file by email to:

info@

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Describe your organization:

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