2012 IUA Meeting Information
April 20-21, 2012
The Westin Indianapolis
Indianapolis, IN

IUA Registration Form
2012 Annual Meeting
The deadline for discounted early registration is 3/28/2012.
After 3/28/2012, regular registration fees will apply to online & on-site registration.

Registration Fees are subject to change. To lock in these rates, register now.

     
Thank you for your interest in the upcoming IUA Annual Meeting. The online registration is now closed; however, on-site registration will be available at the meeting.
       
       
       

MEETING REGISTRATION
Registration Categories
 
Early
Discounted
(through 3/28/2012)
Regular
Fees
(after 3/28/2012)
Physician Members
$100
$125
Physician Non-Members
$175
$225
Practice Managers - Members
$50
$75
Practice Managers - Non-Members
$100
$125
Mid-Level Providers
free
free
Residents
free
free
     
Industry – If you are an employee of industry, you must register in one of these two categories:
     
2012 IUA Industry Partner or Exhibitor
$375
$375
     
NOT a 2012 IUA Industry Partner or Exhibitor

NOTE: If you are employed by industry and your company is not exhibiting at the 2012 IUA annual meeting but would like to register to attend this conference, please contact JP Baunach at (847) 264-5942 or by email jp@wjweiser.com in the IUA executive office to confirm your registration.
 

OTHER EVENTS (Included in registration fee)
Please let us know which evening functions you will attend:

Welcome Reception - Friday, April 20, 2012
There is no charge for attendees to attend; however, please indicate your intent to join us below. Tickets for guests may be purchased below.

The IUA welcomes its members to the 2012 Annual Meeting. Members can visit with exhibitors while connecting with their fellow members and enjoy delicious hors d' oeuvres and drinks.


*Guests must purchase a Welcome Reception ticket separately below.

       
       

ADDITIONAL TICKETS (Not included in registration fee)
Additional Evening Function Tickets for Non-Registered Guests:

Welcome Reception
at $25.00 per ticket  
       
 
 

The Indiana Urologic Association requires payment for registration fees and full payment of optional activities by check or credit card.

 

Registration Cancellation & Refund Policy
Registration refund requests must be submitted in writing to the IUA Executive Office by 4/13/2012. All refund requests will be subject to a $25 processing fee. No refunds will be made after 4/13/2012.