Home About Bylaws Membership Apply for Membership Members Only Profile Member Dues Member Directory Research News Newsletter Events Annual Meeting Meeting Information Registration Hotel Information Travel & Transportation Accreditation Needs & Objectives Program Schedule Past Meetings Contact HomeEventsAnnual MeetingRegistration Registration The Androgen Society 3rd Annual Meeting April 3 - 4, 2020 | JW Marriott Orlando Bonnet Creek | Orlando, Florida The deadline for discounted early registration is Thursday, March 12, 2020. After 3/12/2020, regular registration fees will apply to online and on-site registration. Online Registration will close on Monday, March 23, 2020 at noon CDT. Registration will be available on-site at the meeting. Registration Fees are subject to change. To lock in these rates, register now! Please select the category that best describes your status: Select One Physician Researcher Nonphysician Provider Fellow Resident Student/Trainee Industry Employee Full Time Administrator Other Medical Professional Other Fellowship/Residency Program: Expected Graduation Year: Select One 2019 2020 2021 2022 2023 2024 2025 How did you learn about this conference? Select One Advertisement in Professional Journal Calendar/Monthly Listing Email Member Newsletter Registration Brochure Mailer Social Media Website Word of Mouth/Colleague Are you a member of the American College of Surgeons (ACS)?: YesNo To expedite CME processing, please enter your ACS member ID: Please Check ALL Areas of Practice Emphasis: (Check all that apply) AndrologyGynecologyCardiologyMale InfertilityEndocrinologyOncologyEndourologyPrimary Care/General MedicineEpidemiologySexual Medicine - FemaleFemale Reproductive EndocrinologySexual Medicine - MaleFemale UrologyUrologyGeriatric UrologyDoes Not Apply Registrant Information Address Type: HomeOffice Emergency Contact Information Meeting Registration Registration Categories Early Discounted through 3/12/2020 Regular Fees after 3/12/2020 Androgen Society Member (AS Member & Founding Member — must be current with 2019 Dues) $575 $655 Nonmember Save $100 by becoming a Member of AS and registering at the AS Member rate above! Join Today! $900 $980 Resident $50 $50 Fellow $50 $50 Student $50 $50 Industry Employee - Supporting or MSL Industry Employee whose company is already supporting AS OR Industry Medical Science Liaison (Proof of MSL Title may be required before confirmation of registration) $900 Industry Employee - Non-Supporting/North America Industry Employee whose company is NOT already supporting AS and IS located in the host continent $2,500 Industry Employee - Non-Supporting/Non-North America Industry Employee whose company is NOT already supporting AS and NOT located in the host continent $950 Your submission will need to be approved prior to confirmation of your registration. Approval may be based on current Industry support. To find out if your company is currently supporting AS please contact Brittany Gyuricza in the Registration Department at (847) 264-5963 or email at firstname.lastname@example.org. TOTAL REGISTRATION FEE: The Androgen Society requires full payment for registration fees by check, credit card or wire transfer. Payment Information (must be made in U.S. dollars) CheckCredit CardWire Transfer --Select Card-- Visa MasterCard American Express If paying by check, make check payable to: Androgen Society Mail payment to: Androgen Society Two Woodfield Lake 1100 E. Woodfield Road, Suite 350 Schaumburg, IL 60173 If paying by wire transfer: Please Note — You will be contacted after submission via email with the wire transfer details. Please direct any questions to email@example.com. I have read, understood and agree to the electronic delivery of the data collected and payment amount. SIGNATURE: By selecting “I Agree” I represent and acknowledge that: I have read, understood, and consented to electronic delivery of the data collected and payment entered above. I have granted authorization to Androgen Society in association with WJ Weiser & Associates, Inc. to charge the amount indicated on the credit card provided. I am the authorized user of the credit card listed above and that the associated information entered (account holder name, account number, billing address, etc.) is accurate. I intend the act of selecting “I Agree” to be my legal signature to this agreement. Enter Security Code: 158116 This is to test whether you are a human visitor and to prevent automated spam submissions. Registration Cancellation and Refund Policy Registration refund requests must be submitted in writing to the Androgen Society Administrative Office no later than 3/12/2020. All refund requests will be subject to a $100.00 processing fee. No refunds will be made after 3/12/2020.