Join sleepVantage

Become a sleepVantage member today, it’s free to join and you will have peace of mind that support and advice is always on hand as well as receiving many other benefits.

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Your Details

Title	*
Title	(if other please specify)
First Name	*
Last Name	*
Date of Birth
Address 1	*
Address 2
Suburb	*
Country	*
State/City	*
State/City	*
Postcode	*
E-Mail	*
Telephone (Home)
Telephone (Work)
Telephone (Mobile)
When were you diagnosed with sleep apnea?
Which sleep centre were you diagnosed at?

Your Current Masks

Mask Model
Mask Model	(if other please specify)
Mask Size
Mask Size	(if other please specify)
Date of purchase
Outlet/Supplier

Your Current Sleep Device

Sleep Device Model
Sleep Device Model	(if other please specify)
Serial Number (if applicable)
Date of purchase
Outlet/Supplier


Choose a Humidifier
	(if other please specify)
Serial Number (if applicable)
Date of purchase
Outlet/Supplier
Outlet/Supplier Employee Name	Title
	First Name
	Last Name

Terms & Conditions

Please read the Terms & Conditions	If you are completing this form for the applicant, tick to confirm that the applicant has read and understood the terms and conditions set out below. Membership Terms & Conditions By completing and returning this membership application you become a member of sleepVantage. sleepVantage is a customer care program with a purpose to assist ResMed customers in improving their health and wellbeing through the use of ResMed sleep products and services. It is a condition of your membership that you will provide ResMed with information concerning your use of its products. ResMed will keep your personal information confidential. This information will be used to improve ResMed products and services, to mail you information about products and services and to contact you over the telephone or via the Internet. Your personal information will be kept by ResMed in accordance with its Privacy Policy which can be provided on request or viewed at www.sleepvantage.com.au. As a member of sleepVantage you are entitled to benefits. However, ResMed may change, improve or withdraw the benefits offered at any time. You may request to terminate your membership at any time by contacting ResMed. On acceptance of your completed application form you will be issued with a membership number and a membership card. You will need to quote your membership number to obtain any of the benefits and when calling the sleepVantage Customer Support line. 'sleepVantage' name and logo are trademarks/service marks of ResMed Ltd. and are used by ResMed Asia Pacific Limited by agreement, ABN 30 003 765 142.
Please check here to indicate your acceptance of the Terms and Conditions	*

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