ResMed - Join Now

By completing and returning this membership application, you will 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 if you have consented for us to do so. 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.co.uk. As a member of sleepVantage, you are entitled to benefits listed on this site. 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. VAT Declaration Form: I declare that I am an eligible person under paragraph 1 of VAT leaflet 701/7/86, that I am a UK resident suffering from Obstructive Sleep Apnoea and that I am purchasing from ResMed (UK) Ltd a Machine / Accessories which is being supplied to me for personal use. I claim that the supply of these goods is eligible for relief under item 2, group 12 of the Zero-rated Schedule 8 to the VAT Act 1994. If you accept and submit this form to ResMed you acknowledge that you have read and understood these terms & conditions of ResMed sleepVantage membership and VAT declaration. 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 UK Limited by agreement, Company no. 2863553.

Your Details

Title	*
First Name	*
Last Name	*
Date of Birth	*
House / Flat Number / Name	*
Street Name	*
Address Line 2
County	*
Town / City	*
Postcode	*
E-Mail
Business Hours Telephone
After Hours Telephone	*
	We may use your contact details to provide you with important information about the ResMed products you own. We will not use them for marketing purposes unless you opt in using the tick box below.
	I agree for ResMed to use the above contact details thus allowing me to receive the full benefits of SleepVantage including SnoozeNews and details of new products. ResMed will not disclose my details to third parties or other organisations. (N.B We will be unable to supply SnoozeNews and other benefits without the ability to contact you ).

Terms & Conditions

Please read the Terms & Conditions	By completing and returning this membership application, you will 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 if you have consented for us to do so. 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.co.uk. As a member of sleepVantage, you are entitled to benefits listed on this site. 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. VAT Declaration Form: I declare that I am an eligible person under paragraph 1 of VAT leaflet 701/7/86, that I am a UK resident suffering from Obstructive Sleep Apnoea and that I am purchasing from ResMed (UK) Ltd a Machine / Accessories which is being supplied to me for personal use. I claim that the supply of these goods is eligible for relief under item 2, group 12 of the Zero-rated Schedule 8 to the VAT Act 1994. If you accept and submit this form to ResMed you acknowledge that you have read and understood these terms & conditions of ResMed sleepVantage membership and VAT declaration. 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 UK Limited by agreement, Company no. 2863553.
Please check here to indicate your acceptance of the Terms & Conditions	*

About Your Treatment

When were you diagnosed with sleep apnoea ?
Which sleep centre were you diagnosed at ?
How many nights a week do you currently use the CPAP system ?	1 2 3 4 5 6 7
What is the most difficult aspect of your treatment ?
	(other)
What were your reasons to seek treatment for sleep apnoea ?
	(other)
Who is the principal person you seek advice from on sleep ?
	(other)
Where would you first look for information when considering a new product ?
	(other)

About You

What is (or was) your occupation ?
How many people live in your household ?	1 2 3 4 5+
What improvement in ResMed equipment would make a difference to your treatment ?
What other products or services would improve your treatment ?

Your Current Masks

Mask Model
	(other)
Mask Size

Your Current Flow Generators

Flow Generator Model
	(other)
Purchase or loan from Hospital	Purchase Loan
Serial Number (if applicable)
Date of purchase or loan
Set Pressure
Humidifier Model
	(other)