Submit this form to apply for a free membership to the Canadian Breast Imaging Society. Trainee (Resident / Fellow/ Medical Students) Technologist / Sonographer Trainee Patient or Patient Representative All above qualify for a 100% discount! Submit a request below to receive your complimentary code. Subject to CSBI approval. Name(Required) First Last Email(Required) Membership type (select from the following):(Required)Trainee (Resident / Fellow/ Medical Students)Technologist / Sonographer TraineePatient or Patient RepresentativeIf you are a trainee / student, please provide your expected graduation date:Organization/SchoolNameThis field is for validation purposes and should be left unchanged. 77203