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 March 12 – 14, 2021 | Virtual Meeting The deadline for discounted early registration is Thursday, February 18, 2021. After 2/18/2021, regular registration fees will apply. Online Registration will be available through Sunday, March 14, 2021 at 1:00 p.m. Eastern Time. Registration Fees are subject to change. To lock in these rates, register now! Please select the category that best describes your status: --Select-- Physician Researcher Nonphysician Provider Fellow Resident Student/Trainee Industry Employee Full Time Administrator Other Medical Professional Other Fellowship/Residency Program: Expected Graduation Year: --Select-- 2021 2022 2023 2024 2025 2026 2027 How did you learn about this conference? --Select-- Advertisement in Professional Journal Calendar/Monthly Listing Email Member Newsletter Registration Brochure Mailer Website Word of Mouth/Colleague Are you a member of the American College of Surgeons (ACS)?: --Select-- Yes No To expedite CME processing, please enter your ACS member ID: Please Check ALL Areas of Practice Emphasis: (Check all that apply) AndrologyOncologic Urology - ProstateBenign Prostatic DiseaseOncologic Urology - PenileCalculus DiseaseOncologic Urology - RenalCryosurgeryOncologic Urology - TesticularEndourologyOncologic Urology - All formsFemale UrologyPediatric UrologyFetal UrologyReconstructive UrologyGeriatric UrologyRenal TransplantationIncontinence - FemaleRoboticsIncontinence - MaleSexual Medicine - FemaleLaparoscopySexual Medicine - MaleNeurourologyDoes Not ApplyOncologic Urology - Bladder Industry Registration Thank you for your interest in participating in the Virtual AS 3rd Annual Meeting. Please contact JP Baunach in the Industry Relations Department at (847) 264-5942 firstname.lastname@example.org for more information regarding industry registration options. Registrant Information The email entered must be used to log in to the meeting --Select Address Type-- Home Office Meeting Registration Registration Categories Early Discounted 2/18/2021 Regular Fees 2/18/2021 Androgen Society Member (AS Member & Founding Member — must be current with 2020 Dues) $100 $125 Nonmember Save by becoming a Member of AS and registering at the AS Member rate above! Join Today! $350 $375 Resident $25 $50 Fellow $25 $50 Student $25 $50 TOTAL REGISTRATION FEE: The Androgen Society requires full payment for registration fees by check or credit card. Payment Information (must be made in U.S. dollars) CheckCredit Card --Select Card-- Visa MasterCard American Express Billing Information 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 Signature I Agree that 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 ANDRO 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: 492802 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 AS Executive Office by 2/18/2021. All refund requests will be subject to a $15 processing fee. No refunds will be made after 2/18/2021.