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CHECK A MEMBERSHIP CATEGORY BELOW

 

FACILITY- AASM Accredited Sleep Centers or Labs, membership includes 2 voting individuals

   Facility Member - $500 per year

 

ASSOCIATE FACILITY - Facility not accredited by the AASM

   Assoc Facility Member - $500 per year

 

CLINICIAN - Physician, Dentist, PhD, RN, PA, ARNP, LPN, MA

   Clinician Member - $75 per year

         

TECHNICAL - RPSGT, Non-RPSGT, RRT, CRT, R.EEG.T, EEG.T.

   Technical Member - $35 per year

           

ASSOCIATE - Individuals with an interest in sleep medicine, non-voting members

   Associate Member - $20 per year

Full Name (req.)

 

Credentials

(ie. MD, FACS, PhD, etc.)

 

 

E-mail (req.)

Office Phone (req.)


Second Voting Member

ONLY if Facility Membership

 

Credentials

(ie. MD, FACS, PhD, etc.)

 

E-mail

Office Phone


Facility/Practice/Hospital

 

Website

http://

Please add a link on your site to ours (http://www.gasleep.org) This will improve our ranking on search engines.

Office Address  (req.)

 

FAX (req.)


Medical Director

or Same as above

 

Credentials

(ie. MD, FACS, PhD, etc.)

 

 

E-mail

 

Office Phone


Technical/Admin Director

  or Same as above

 

Credentials

(ie. MD, FACS, PhD, etc.)

 

 

E-mail

 

Office Phone

 


Notes

Get involved with GASP!

I would be interested in getting involved with GASP (serve as an officer, director or on a committee.  Technical members must also be a member of the AAST)

 

Please note, the email addresses you submit will be used for all GASP correspondence.  Instruct your email program to accept emails from maryann@theassociationcompany.com

 

Upon submitting this form, your application will be automatically emailed to our Executive Director's office and you will be taken to the payment page.   Contact us with questions!

 


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© 2008 Georgia Association of Sleep Professionals, Inc., www.gasleep.org, All rights reserved

770-613-0932 tel, 305-422-3327 fax, mbmcgrail@gasleep.org

last updated February 11, 2010