76th SESAUA Annual Meeting Pre-Registration Form
March 22 – 25, 2012
The Ritz-Carlton, Amelia Island
Amelia Island, Florida

The deadline for discounted early registration is 2/22/12.
After 2/22/12, regular registration fees will apply to online & on-site registration.
Registration Fees are subject to change. To lock in these rates, register now.
 
Thank you for your interest in attending the upcoming Annual Meeting. The online registration is now closed; however, on-site registration will be available at the meeting.
         
         
 
Accommodations will be made on the basis of disability. Please contact the SESAUA office at (847) 969-0248 to indicate any special needs.
 
MEETING REGISTRATION
Meeting registration includes 1 ticket to each of the 2 evening functions, unless otherwise noted.
Registration Category*
Early Discounted
(through 2/22/12)
Regular Fees
(after 2/22/12)
SES Member/Initiate
@ $380
@ $430
 
SES Senior Member
@ $295
@ $345
  
Non Member Urologist (Non-SES member/Other AUA section member)
@ $380
@ $430
  
Non Member Physician (Non-SES member/Non-AUA member)
@ $480
@ $530
  
         
SES Resident or Fellow (AUA candidate member)
Free
Free
  
     
Non-member Resident/Fellow
@ $295
@ $345
  
     
 
         
Allied Professional
(Exhibits and Sessions Only)
@ $200
@ $250
  
Allied Professional
(Exhibits, Sessions and Evening Functions)
@ $380
@ $430
  
         
Industry – If you are an employee of industry, you must register in one of these two categories:
2012 SESAUA Promotional Partner or Exhibitor
@ $530
@ $530
  
         
NOT a 2012 SESAUA Promotional Partner or Exhibitor
     
NOTE: If you are employed by industry and your company is not exhibiting at the 2012 SESAUA annual meeting but would like to register to attend this conference, please contact JP Baunach at (847) 264-5942 or by email jp@wjweiser.com in the SESAUA executive office to confirm your registration.
         
Spouse/Guest
@ $295
@ $345
  
Child Registration (up to 17 years)
@ $89
@ $139
  
         
 
 
ADDITIONAL TICKETS
*Please only purchase additional tickets if you are not registering yourself or a guest for the entire meeting.
Additional Evening Function Tickets for Non-Registered Guests:
     
Welcome Reception (adult) @$50    
Welcome Reception (child ages 11-17; 10 and under are free) @$20    
     
Annual Banquet @$185  
     
 
Additional Tickets Total:
 
Additional Optional Event Tickets
Golden Era Tour @ $40/ticket   
Amelia Island River Cruise @ $59/ticket    
Salt Tasting Class @ $0/ticket     
     
Fort Clinch State Park Tour @ $65/ticket   
Tennis at Ritz-Carlton Amelia Island @ $60/ticket     
Golf at Ritz-Carlton Amelia Island @ $190/ticket   
     
     
 
 

OTHER EVENTS (Included in registration fee)
 

Welcome Reception - Thursday, March 22, 2012
Welcome to sunny Florida! Come and enjoy a margarita, local cuisine and entertainment while catching up with colleagues and exhibitors!

One ticket is included in attendee and spouse registration fee.
 

Annual Reception and Banquet – Saturday, March 24, 2012
The closing social event of the 76th annual meeting of the SESAUA is sure to please with an expertly crafted menu, musical entertainment and dancing.

One ticket is included in attendee and spouse registration fee.

 
Registration Cancellation & Refund Policy
Registration refund requests must be submitted in writing to the SESAUA Executive Office by 2/22/12. All refund requests will be subject to a $100 processing fee. No refunds will be made after 2/22/12.