Registration and Fees

2022 Annual Conference and Technical Course

April 21-24, 2022 — Birmingham, AL

Please use the form below to register as a participant for the Southern Sleep Society 2022 Annual Conference and Technical Course.

Our registration system uses PayPal for payment. Note that you can make a payment using a credit card without creating a PayPal account, if you choose to do so. Where it asks you to login to your PayPal account, just click below where it says “pay with a debit or credit card”.

For questions related to registration, please contact:
Marietta Bellamy Bibbs
mariettabibbs@southernsleepsociety.org

If you prefer to pay by check, please use our printable registration form.

Participant Registration Form

Please note the following:

  • Membership dues are not refundable
  • There is a $100 non-refundable fee for canceling registration by April 8, 2022
  • There are no refunds available after April 8, 2022
  • In the event of conference cancellation, all refunds will incur a 3.99% fee to recover processing costs

Participant Info
First Name
Last Name
Degree/Certification
Institution/Employer
Job Title
Address
City
State/Province
Zip/Postal Code
Country
Work Phone
Cell Phone
Fax
Email Address

Registration Options
Registration Type Before
3/15/2022		 After
3/15/2022		 Line Total
MEMBER REGISTRATION FEES
$200.00 $225.00
$250.00 $275.00
$375.00 $400.00
$350.00 $375.00
$275.00 $300.00
NON-MEMBER REGISTRATION FEES
$200.00 $225.00
$275.00 $300.00
$400.00 $425.00
$375.00 $400.00
$300.00 $325.00
ADDITIONAL REGISTRATION OPTIONS
$35.00 $35.00
$40.00 $40.00
$100.00 $100.00
Processing Fee
Total

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