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Membership

Membership Dues

Please select a Membership Level from the options below (required)

$40 2015 Individual Membership (Jan.-Dec. 2015)
$85 Sleep Professional (July 1, 2014- June 30, 2015)
$175 Organization/Sleep Center/Medical Facility (July 1, 2014- June 30, 2015)
Please send me a QR coded:
QR Coded Wristband
QR Coded Wallet Card
Donation: Include a one-time donation with your membership
$

Note:  If you wish to pledge an annual gift in equal quarterly installments, please call our office at (401) 667-2523 to make arrangements.
Member Information
New Member?

First Name: *
Last Name: *
Member ID (if known):
Organization/Sleep Center (If applicable):
Telephone:
Fax Number:
E-mail: *
Web Site URL:
Newsletter delivery (choose one):
E-mail attachment (.pdf file)     Postal mail
Finalize Order

Narcolepsy Network Inc. (NN) is a 501(c)(3) non-profit organization.
Any donation above the amount of dues is tax deductible.
NN will send a receipt for all donations.
An annual report is available upon request.

After clicking “submit order” your order will be processed through PayPal.

PLEASE NOTE: If the member’s name and/or address are different from the credit card billing name and/or address, please use the “shipping address” field on the PayPal form for the member’s name and address.