CUA LogoCalifornia Urological Association
Membership Application
or Dues Renewal
Thank you for your supporting the CUA.  Please complete this simple form and the payment page. Your application or renewal will be acknowledged by email. THANK YOU!
New Member or Renewal? If renewal, you only need complete the required fields. *
Please select one choice below. The annual dues amount may be paid by check or credit card on the next page. *
You have chosen to pay dues for more than one member - please select one choice below. The annual dues amount may be paid by check or credit card on the next page.

This section for urologists only - skip if not applicable:                                        
Board Certified?
If no, are you board eligible?
California Medical Association member?
Are you interested in a leadership role?

                                                                                                                                                       
I hereby make application to the California Urological Association for Active or Associate Membership and I agree to abide by the Bylaws.

Click "Continue" button below. On the next page you may pay your fees by credit card or by check.

NOTE: Organization dues may be deductible as professional or business expenses, to the extent allowable by law. Dues and other contributions are not deductible as charitable contributions for federal income purposes.

Questions: Please contact Teri at 714-550-9155 or via email at info@cuanet.org