Membership Application  
  

Name: _____________________________________________________________________

Address:____________________________________________________________________

City:________________________________________________________________________

Postal Code:_____________________________Phone:______________________________

E-mail:______________________________________________________________________

 
ARDMS  #___________________________CARDUP#________________________________

Specialties (please circle all that apply)   CRGS/RDMS          CRCS/RDCS         CRVS/RVT 

Please circle appropriate membership category: 
Active ($60/yr)
Associate ($60/yr) 
Student (Please complete student member application)

Please mail this form to :OSDMS, P.O. Box 188, Oakville, Ontario, L6J 5A2

Or Fax to: 905-849-0653 Or E-Mail to: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
I Hereby authorize OSDMS to Charge  $______________ to my Visa
Card Number_______________________________________________________
Expiry Date ______________________________/_________________________
Name on Card______________________________________________________
Signature__________________________________________________________

Membership Categories:

ACTIVE MEMBER: A member who has completed a recognized training program in Diagnostic Medical Ultrasound at a university, college or other recognized institution; has passed the required ARDMS and/or CARDUP examinations; is currently working the field of medical ultrasound and has paid their annual dues.

ASSOCIATE MEMBER: A member who has not met the requirements of active membership, but who has paid their annual dues.

HONOURARY MEMBER: A member who the Board of Directors determine to be suitably qualified to receive the distinction of Honourary member.  These members are unable to actively participate in the affairs of the Society.  Honourary members will not be required to pay dues.

INACTIVE MEMBER: A former member who does not continue to actively work in the field of medical ultrasound but wishes to retain membership in the society and has paid their annual dues.

STUDENT MEMBER: A member who is actively enrolled in an education program for medical sonography at a university, college or other recognized institution for the duration of their program.  Student members receive complimentary membership.