Winter Urologic Forum


Winter Urologic Forum

Two Woodfield Lake
1100 E. Woodfield Road
Suite 350
Schaumburg, IL 60173

(847) 517-7225
(847) 517-7229
wuf@wjweiser.com

Managed by
WJ Weiser & Associates, Inc.


Privacy Policy

Registration

45th Annual Winter Urologic Forum
January 15 – 19, 2021
The Westin Snowmass
Snowmass Village, Colorado

The deadline for discounted early registration is Friday, December 11, 2020.
After December 11, regular registration fees will apply to online and on-site registration.

Online registration will close on Tuesday, January 5, 2021 at noon CDT.
After January 5, registration will only be available on-site at the meeting.

  • Please select the category that best describes your status:
  • Fellowship/Residency Program:
  • Expected Graduation Year:
  • How did you learn about this conference?
  • Are you a member of the American College of Surgeons (ACS)?:
  • To expedite CME processing, please enter your ACS member ID:

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












Registrant Information

  • Address Type: 

Meeting Registration

  • Registration Categories
  • Early Discounted
    through 12/11/2020
  • Regular Fees
    after 12/11/2020
  • $770
  • $870
  • $620
  • $670
  • $620
  • $670
  • $620
  • $670
  • $620
  • $670
  • Fellowship or Residency Completion Year:

  • Industry Employee whose company is already supporting WUF OR Industry Medical Science Liaison (Proof of MSL Title may be required before confirmation of registration)
  • $870

  • Industry Employee whose company is NOT already supporting WUF
  • $2,500
  • 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 WUF please contact Brittany Gyuricza in the Registration Department at (847) 264-5963 or by email at brittany@wjweiser.com.

Spouse/Guest Registration

  • Spouse/Guest
  • $325 per person
  • Child (under 12)
  • $200 per child

Please Note: Spouse/Guest and Child registration is required to participate in the meal functions of the Winter Urologic Forum. Spouses, guests and children must wear their badges at all times to participate. Thank you for your cooperation.

  • Spouse/Guest 1:
  • Guest 2:
  • Guest 3:
  • Child 1:
  • Child 2:
  • Child 3:
  • TOTAL REGISTRATION FEE:

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

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

  • Billing Information

If paying by check, make check payable to: Winter Urologic Forum

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

  • Enter Security Code: 675413
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Registration Cancellation and Refund Policy

Registration refund requests must be submitted in writing to the WUF Executive Office no later than December 11, 2020. All refund requests will be subject to a $100.00 processing fee. No refunds will be made after December 11, 2020.