AUA Private Demonstration Request

American Urological Association Convention
Washington D.C.

Name  
 Telephone Number  
 Email Address    
     
Practice Name  
Practice Location  
 
     
# of Providers In Practice
# of Main Offices
# of Satellite Offices
     

Best Time for Private Demonstration  (You can select more than one. Non-selectable check boxes are sessions that are full.)

Saturday, May 14th
Sunday, May 15th
Monday, May 16th
Tuesday, May 17th


Day and times will be available based on a first come-first served basis. We will make every effort to schedule your preference if available.