2025 MSS Membership Registration Form

Name*

First NameMiddle NameLast NameDegree

Practice Address:*

Practice Name

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example@example.com

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Are you interested in serving on the MSS Board or one of our Committees?

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Register an additional member?

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Name

First NameMiddle NameLast NameDegree

Practice Address:

Practice Name

Street Address

CityState / Province

Postal / Zip CodeCountry

Notes:

This information is only used for administrative purposes and will not be published or shared publicly.

My Products*

Membership Dues | DoctoralDoctoral members shall be those individuals who hold a M.D., D.O., Ph.D., D.D.S., or D.M.D. Degree. Individuals holding another doctoral degree in a healthcare or biomedical field are also included in this membership class. All Doctoral members should be active in sleep disorders medicine, sleep research, or sleep education. Doctoral members may serve as officers on the Board of Directors and on Committees.

$95.00 Quantity

Membership Dues | Polysomnographic TechnologistPolysomnographic members shall be those individuals whose primary employment is in the Sleep Technology Profession. Registered polysomnographic technologists (RPSGTs) may serve on the Board of Directors and on Committees. Polysomnographic technologists must be licensed in Maryland in order to serve on the Board of Directors and on Committees.

$50.00 Quantity

Membership Dues | ProfessionalProfessional members shall include licensed allied health professionals working in the field of sleep medicine. This category is limited to Physician Assistants (PAs), Nurse Practitioners (NPs), Registered Nurses (RNs) and Registered Respiratory Therapists (RRTs). Professional members may serve on the Board of Directors and on Committees, but they may not serve as Officers of the Society.

$50.00 Quantity

Membership Dues | AffiliateAffiliate members shall be those individuals who have special training in the health care field and are active in aspects of sleep medicine. Affiliate members are not eligible to serve on the Board of Directors. Affiliate members may serve on Committees but may not serve as Committee Chairs.

$30.00 Quantity

Membership Dues | StudentStudent membership applies to residents and fellows. Student members shall be those individuals seeking a degree, who are currently enrolled in a health care or biomedical, degree-granting institution. All student members should be pursuing a degree leading to participation in sleep disorders medicine, sleep research or sleep education. Student members are not eligible to serve on the Board of Directors or Committees.

$20.00 Quantity

Total

$0.00

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Membership Application / Renewal