SGSU LogoSociety of Government Service Urologists
Membership Application
and Dues Renewal

Please select one choice below. The annual dues amount may be paid by check or credit card on the next page. Your application or renewal will be acknowledged by email. THANK YOU!
Please select category: *
New Member or Renewal?................................................................................ *
Gender

Please complete if active or retired military or change in status or rank.                              

The address below will be used for directory listing and all correspondence.                     

                                   Home or Alternate Address                                             

This section for Residents only - skip if not applicable:                                        

This section for urologists only - skip if not applicable:                                        
Board Certified?
If no, are you board eligible?

                                                                                                      

Are you interested in a future leadership role?
By my application, I hereby agree to abide by the Bylaws of the Society of Government Service Urologists.

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 a professional or business expenses to the extent allowable by law. Dues and other contributions to SGSU are not deductible as charitable contributions for federal income tax purposes.

Questions: Please contact us at 714-550-9155 or via email at dues@desantisgroup.com