IAUA IAUA.NET
Indian American Urological Association. Inc.
Membership Type
  1. Active Membership
  2. Candidate (Associate) Membership
  3. Corresponding (International) Membership
  4. Affiliate (Scientific) Membership

    Click here for a printable version of the application.

    For questions or concerns please contact:

    Ann Kora
    Membership Coordinator
    ann@wjweiser.com
    d (847) 264-5925
    f (847) 517-7229
IAUA Application for Membership
First Name  
Middle Name
Last Name
Degrees
Sex  Male     Female
Email
Date of Birth (mm/dd/yy)
Please select the type of membership you are applying for:
   Active Membership
Qualifications: Active Membership in this society is limited to licensed physicians of Indian origin who reside and practice urology in the US or Canada and has an unrestricted license to practice medicine.
Annual Dues: $100 USD
Lifetime Membership: $500 USD
   Candidate (Associate) Membership
Qualifications: Associate Membership in the society shall be limited to residents and fellows in urology training.
Annual Dues: Waived
   Corresponding (International) Membership
Qualifications: Physicians and other scientists who reside outside of the US and Canada, and who devote at least 75% of their total professional activities to the field of urology.
Lifetime Membership: $100 USD
   Affiliate (Scientific) Membership
Qualifications:
a) Basic scientists who have their primary research effort in the field of urology and/or spend 75% of their working time in urology related endeavors;
b) Non urologists who have contributed significantly to the specialty of urology.
Annual Dues: $25 USD
Preferred Mailing Address       Office Home
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    Home Information
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What is your subspecialty?    Check all that apply:
 
Academics Endourology
Female Urology Sexual Medicine
General Urology Adults Male Infertility
Pediatric Urology Urologic Oncology
 
  American Urological Association  
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