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Online Registration

42nd Annual Conference

“New Concepts and Perspectives in Male Reproduction Health”
April 22 – 25, 2017
The Hilton Miami Downtown
Miami, Florida

XXIVth North American Testis Workshop

“From Testis Differentiation to Sperm Production”
April 19 – 22, 2017

Clinical Symposium
 

“Sexual Function and Fertility in the Spinal Cord Injured Male”
April 22, 2017

Andrology Laboratory Workshop

“Restoring Strict Morphology Relevance:
A Consensus Workshop”

April 22, 2017

Trainee Directed
Mini-Symposium

“Finding Your BLISS:
Careers in Andrology”

 
April 23, 2017

The deadline for discounted early registration is 3/26/2017.
After 3/26/2017, regular registration fees will apply to online and onsite registration.
Registration Fees are subject to change. To lock in these rates, register now!

Online registration will close on April 5, 2017. After this date, onsite registration will be available.
  • Please select the category that best describes your status:*

Please select the category that best describes your sex/gender, race and ethnicity: (Check all that apply)





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Registrant Information
  • First Name:*
  • Last Name:*
  • Degree(s):
  • Badge First Name:*
  • Address 1:*
  • Address 2:
  • City:*
  • State:*
  • Zip Code:*
  • Country:*
  • Phone:*
  • Fax:
  • Email:*
  • Address Type:*
SPECIAL REGISTRATION: ASA 42nd Annual Conference & Testis Workshop COMBINATION
Register for both the ASA Annual Conference and Testis Workshop today and receive a special discount!
PLEASE NOTE: You MUST select the Annual Meeting as well as the Testis Workshop below to see the discount off of your total registration fees.
Attendee (ASA Member/Non-Member)$150 discount (Discount will show off your total)
Trainee(s)$100 discount (Discount will show off your total)
XXIV NORTH AMERICAN TESTIS WORKSHOP REGISTRATION

“From Testis Differentiation to Sperm Production” — Registration fee includes entry into the Testis Workshop lectures, one ticket to the Testis Workshop Welcome Reception, a syllabus and refreshment break.

  • Testis Workshop
    Wednesday, April 19 – Saturday, April 22, 2017
  • Early Discounted
    through 3/26/2017
  • Regular Fee
    after 3/26/2017
  • (ASA Member/Non-Member)
  • $450
  • $510
  • $150
  • $210

ASA 42nd Annual Conference Registration

Registration fee includes entry into the ASA lectures, one ticket to the ASA Welcome Reception, a syllabus and refreshment break.

  • ASA MEETING REGISTRATION
    Saturday, April 22 – Tuesday, April 25, 2017
  • Early Discounted
    through 3/26/2017
  • Regular Fee
    after 3/26/2017
  • $450
  • $510
  • $75
  • $75
  • $650
  • $710
  • $150
  • $175
  • $250
  • $275
  • One-Day ONLY Registration – Local Attendees
    One-Day registrations are permitted for a single day’s attendance at the Convention (Sunday, Monday or Tuesday only, and cannot be combined into a two-day registration). Attendees must work or study in Miami, FL, and your conference badge will be valid only for the day you select.
  • $200
  • $225
  • $75
  • $100
  • $200
  • $225
  • $75
  • $100
  • $200
  • $225
  • $75
  • $100
  • Industry Registration

  • Industry Employee whose company is already supporting ASA OR Industry Medical Science Liaison
    (Proof of MSL Title may be required before confirmation of registration)
  • $710

  • Industry Employee whose company is NOT already supporting ASA
  • $875
  • 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 ASA please contact Brittany Kallman in the Registration Department at (847) 264-5963 or by email at brittany@wjweiser.com.

  • Andrology Lab Workshop Registration
    Restoring Strict Morphology Relevance: A Consensus Workshop Saturday, April 22, 2017 Lab Science Forum Lunch included in ALW registration fee.
  • (Active or Trainee)
  • $295
  • $345

SPECIAL WORKSHOPS AND SYMPOSIA
ASA Clinical Symposium
  • Sexual Function and Fertility in the Spinal Cord Injured Male Saturday, April 22, 2017
  • Early Discounted
    through 3/26/2017
  • Regular Fee
    after 3/26/2017
  • $0
  • $0
  • $75
  • $100

ASA Luncheons

Please indicate which events you plan to attend. Additional tickets are available for purchase.

  • Lab Science Forum Luncheon
    Saturday, April 22, 2017
    12:00 p.m. – 1:30 p.m.
    One ticket included in ALW registration; only purchase tickets if you are not registered for ALW.
  • Lab Science Forum Luncheon
  • # of tickets =
  • @ $35 per ticket
  • Mentoring Luncheon Sponsored by the Diversity & Trainee Affairs Committees
    Sunday, April 23, 2017
    12:30 p.m. – 2:00 p.m.
  • Mentoring Luncheon - Trainee
  • # of tickets =
  • @ $25 per ticket
  • Mentoring Luncheon - Attendee (Member/Non-Member)
  • # of tickets =
  • @ $35 per ticket
  • Women in Andrology Luncheon
    Monday, April 24, 2017
    12:30 p.m. – 1:45 p.m.
  • Women in Andrology Luncheon - Trainee
  • # of tickets =
  • @ $25 per ticket
  • Women in Andrology Luncheon - Attendee (Member/Non-Member)
  • # of tickets =
  • @ $35 per ticket

EVENING EVENTS

Please indicate which events you plan to attend. Additional tickets are available for purchase.

  • Testis Workshop Welcome Reception
    Wednesday, April 19, 2017
    8:15 p.m. – 9:30 p.m. One ticket included in TW registration; only purchase additional tickets for spouse/guest(s).
  • Testis Workshop Welcome Reception - Additional Ticket
  • # of tickets =
  • @ $25 per ticket
  • ASA Annual Meeting Welcome Reception
    Monday, April 4, 2017
    7:00 p.m. – 11:00 p.m. One ticket included in ASA meeting registration; only purchase additional tickets for spouse/guest(s).
  • ASA Welcome Reception - Additional Tickets
  • # of tickets =
  • @ $25 per ticket
  • Trainee Forum and Mixer*
    Sunday, April 23, 2017
    6:00 p.m. – 8:00 p.m.
  • Will you attend the Trainee Forum and Mixer?
  • ASA Annual Banquet
    Monday, April 24, 2017
    7:00 p.m. – 11:00 p.m.
  • Annual Banquet - Attendee (Member/Non-Member)
  • # of tickets =
  • @ $80 per ticket
  • Annual Banquet - Trainee
  • # of tickets =
  • @ $40 per ticket
  • Donation Help us keep trainee ticket prices low by supporting the ASA Banquet with a donation.
  • # of tickets =
  • @ $30 per ticket

  • TOTAL REGISTRATION FEE:

The ASA requires full payment for registration fees and special events by check or credit card.

Payment Information (must be made in U.S. dollars)
Billing Address:* Zip:* Card Type:*  
 
Name on Card:* Card Number:* Expiration Date: (mmyy)* Card Verification #:*

If paying by check, make check payable to: American Society of Andrology

Mail payment to:
American Society of Andrology
Two Woodfield Lake
1100 E. Woodfield Road, Suite 350
Schaumburg, IL 60173


  • Enter Security Code: 2692

Registration Cancellation and Refund Policy

Registration refund requests must be submitted in writing to the ASA Executive Office no later than 3/26/2017. All refund requests will be subject to a $100 processing fee. No refunds will be made after 3/26/2017.