SDMS Online Membership Join Application

Instructions

stop Are you renewing your SDMS membership? If so, click here.

Fields highlighted in RED are required fields.
Fields highlighted in BLUE are required only if the mailing address is in the United States, Canada, or Australia.
Additional fields may be required depending on your selections.

1. Member Information help

Prefix:  
First Name:    
Middle Initial:  
Last Name:    
Suffix (II, III, Jr, Sr, etc):  
Nickname:
Credentials:  
If you plan to use your work address as your preferred mailing address, please complete this information:
Organization:  
Department:  
Country Code:
Mailing Address:    
Mailing Address:  
City:    
State/Province:  
Zip+4/Postal Code: -    
Daytime Phone
(US/Canada only):

(Ex. xxx-xxx-xxxx)  
Ext:  
Email:
privacy policy    
For identity verification and CME tracking purposes, please provide the following:
Birthdate (MM/DD/YYYY):
/ /  
Social Security #: XXX-XX- (last 4 digits only)  
Gender:
 

2. Specialties, Credentials/Licenses, and Education help

A. Currently Practicing
[AB] Abdominal
[BR] Breast
[AE] Cardiac (Adult)
[FE] Cardiac (Fetal)
[PE] Cardiac (Pediatric)
[MSK] Musculoskeletal
[NE] Neurosonology
[OB] Ob/Gyn
[VT] Vascular
[VET] Veterinary
[PS] Pediatric Sonography
B. Credentials / Licenses:
RDCS RT(BS) [Breast]
RDMS RT(S)
RMSK RT(VS) [Vascular]
RPVI CRCS
RVT CRGS
RCCS CRVS
RCIS MD/DO
RCS RN
RPhS
RVS

C. Registry Numbers (if applicable)
ARDMS **  
CCI  
ARRT
Sonography Canada
** Required for SDMS CME Tracker

D. Education: Highest
Diploma/Degree




 

3. Membership Dues help

Membership Category: United States/International
[ACT] Active
[ASC] Associate
[SUP] Supporting Member
[CBI] Corporate/Business/Institution
"Organization" required in section 1.Member Information
[STU] Student Not available online - complete a Student application

4. Source Code

Source Code
If you received a SDMS membership application, enter the source code (located near bottom right or top right corner). If you received a postcard, enter the source code (located near the bottom).
Source Code:

5. Promotional Code

Promotional Code
If you have a promotional code enter it below and click the apply button
Promotional Code:

6. Donations help

SDMS Foundation
* The Society of Diagnostic Medical Sonography (SDMS) Foundation is recognized by the Internal Revenue Service (IRS) as a tax exempt charitable organization described in Section 501(c)(3) of the Internal Revenue Code. Your donation will be deductible to the extent permitted by law (consult a tax professional).
Donation: $    

7. Payment help

Check if member information is the same as credit card.
Credit Cards
We Accept:
*AMEX
*Discover
*Mastercard
*Visa
Credit Card Type:  
Credit Card #:  
3 or 4-digit Card Security Code:   more information  
Expiration Date (MMYY):
Name on Card:  
Card Billing Address:  
Card Billing Address:
City:  
Country Code:
State/Province:  
Zip+4/Postal Code: -

I hereby authorize the above charge to my credit card. Membership dues to the SDMS are not
deductible as a charitable contribution for U.S. Federal tax purposes, but may be partially
deductible as a business expense. The SDMS estimates 12.5% of your dues are not deductible
because of the SDMS' lobbying activities on behalf of its members(consult a tax professional).

Refund Policy: Membership dues are non-refundable except in the event of overpayment. A
member can choose to have an overpayment applied to future membership renewals or toward the
purchase of SDMS products. Donations are non-refundable.
I accept the Terms and Condtions  




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