Indiana Urologic Association, Inc. (IUA)

Indiana Urologic Association, Inc. (IUA)

Online Registration

2019 IUA Annual Meeting

February 23, 2019
JW Marriott Indianapolis
Indianapolis, IN

The deadline for discounted early registration is 1/24/2019.
After 1/24/2019, regular registration fees will apply to online and on-site registration.

Online Registration will close on Wednesday, February 13, 2019.
After this date, 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:
  • Fellowship/Residency Program:
  • Expected Graduation Year:

Please Check ALL Areas of Practice Emphasis: (Check all that apply)

  • Are you a member of the American College of Surgeons (ACS)?:
  • To expedite CME processing, please enter your ACS member ID:

How did you learn about this conference? (Check all that apply)

Registrant Information

  • Address Type: 
  • Emergency Contact Information

Meeting Registration

  • Registration Categories
  • Early Discounted
    through 1/24/2019
  • Regular Fees
    after 1/24/2019
  • $100
  • $125
  • $175
  • $225
  • $50
  • $75
  • $100
  • $125
  • Complimentary
  • Complimentary
  • Complimentary
  • Complimentary
  • Complimentary
  • Complimentary
  • Complimentary
  • Complimentary

  • Industry Employee whose company is already supporting IUA OR Industry Medical Science Liaison (Proof of MSL Title may be required before confirmation of registration)
  • $225

  • Industry Employee whose company is NOT already supporting IUA
  • $925
  • 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 IUA, please contact Brittany Kallman in the Registration Department at (847) 264-5963 or by email at

The IUA requires full payment for registration fees by check or credit card.

Payment Information (must be made in U.S. dollars)

If paying by check, make check payable to: Indiana Urologic Association

Mail payment to:
Indiana Urologic Association
Two Woodfield Lake
1100 E. Woodfield Road, Suite 350
Schaumburg, IL 60173

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  • Enter in the Following Security Code: 978352

Registration Cancellation and Refund Policy

Registration refund requests must be submitted in writing to the IUA Executive Office no later than 1/24/2019. All refund requests will be subject to a $25 processing fee. No refunds will be made after 1/24/2019.