Registrant Information

Required Fields

Social Events RSVP

Please indicate if you will be attending the Dinner at the hotel on Friday September 6, 2019.

Please indicate if you will be attending the off-site Dinner on Saturday September 7, 2019.

Registration Fees (All fees include 13% HST)

Accompanying Person Details

Accommodations

Please indicate if you plan on booking accommodations at the Queen’s Landing for the duration of the meeting.

A special room rate of $289.00 plus applicable taxes and fees have been secured at the Queen’s Landing upon availability until August 7 2019. Rooms can be booked and guaranteed using a valid credit card by calling 1-888-669-5566 or going online. If calling, please mention the group name “CUA”.

Payment Options

We gladly accept the following cheques and credit cards: MasterCard or VISA. Wire transfers, bank drafts and money orders are not accepted.

Numbers only, no spaces or dashes

If you select to pay by cheque, please send your Canadian dollar cheque to the address below. You need to indicate your full name and registration number on the back of the cheque.

Cheque must be payable to "Canadian Urological Association" and sent to:

CUA Corporate Office
185 Dorval Avenue, Suite 401
Dorval, Quebec
Canada H9S 5J9

Confirmation of Registration