WSAUA Membership Dues Renewal

Western Section American Urological Association
Membership Renewal
Dues Payment Form

Please complete below. Your payment will be acknowledged by email. THANK YOU!

Thank you for your continued membership in the Western Section American Urological Association. WSAUA dues are $250 if paid by December 31. *

Email Address: (for confirmation) *

Optional 2nd Email Address: (for others)

Optional: Personal or business web site for directory listing

Full name of Member(s) for whom dues are being paid: *

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City or Province where practice is located: *

If there has been a change of address, please type it in below.

Comments:

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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 are not deductible as charitable contributions for federal income purposes.

Member Annual Dues - $250	Dues for 2 Members - $500	Dues for 3 Members - $750
Dues for 4 Members - $1000	Dues for 5 Members - $1,250	Dues for 6 Members - $1,500
Health Professional, PA - $75