APPLICATION CHECK LIST

VALUE OF MEMBERSHIP (Daniel Nachtsheim, M.D.)

If you are interested in joining our prestigious network of surgeons, researchers and practitioners of Urology, please review the following application requirements:

1. $230.00 Initiation Fee (U.S. Dollars).

2. Letter stating that you have read and understand the bylaws.

3. Photo, any size, with name printed on back.

6. Evidence of graduation from a medical school and evidence of certification by the American Board of Urology, the Fellowship in Urology by the Royal College of Surgeons of Canada (Certificate copy, or letter), or other certifying board.

5. Click here to complete Application Form online and either email by clicking "Submit" or print and fax or mail back. (If emailing application, all additional required information must be mailed in.)

6. Send all required information to:

Western Section AUA
Membership Department
1950 Old Tustin Avenue
Santa Ana, CA 92705

Do not send any documents to the AUA Office in Linthicum! This may seriously impede your application process into the Section.

Items must be completed and filed in the Western Section office a month before the next annual meeting. Applications sent after this date may not be eligible for consideration.

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 tax purposes.

 

If you have any questions, you may call the Section office at (714) 550-9155, or send e-mail to info@wsaua.org