2012 Society for Basic Urologic Research Fall Symposium
S UR B UR UR SB SBUR SB SB R U U R SBUR SB ry rsa 2 5th A n nive 2012 SBUR Fall Symposium Registration Brochure Society of Basic Urologic Research 2012 Fall Symposium November 15 – 18, 2012 Trump International Beach Resort Miami Beach, Florida Featuring: Leland W.K. Chung Lecturer: Martin J. Blaser, MD and AUA Lecturer: Arthur L. Burnett, II, MD *Obtain detailed meeting information and/or register quickly and easily online at www.sbur.org*Register by October 22, 2012 to receive pre-registration, discounted pricing!
PRESIDENT’S MESSAGE Welcome Dear friends, I am delighted to invite you to attend the 2012 Society of Basic Urologic Research Fall Symposium at the beautiful Trump International Beach Re- sort, November 15 – 18, 2012 in Miami Beach, Florida. This is a very spe- cial meeting for the SBUR, as it is the 25th anniversary year of the society! This meeting will be about reflection, from humble beginnings in the of- fice of our founding president, Dr. Timothy Ratliff, to the current state of a vibrant society that is growing stronger every passing year. With the Silver Jubilee year in mind, Dr. Jill Macoska has aptly themed the Fall Meeting, “The 25th Anniversary of the SBUR: Looking Back to Move Forward.”Vinata Lokeshwar, PhD2012 – 2013 SBUR PresidentUniversity of Miami School of Medicine Dr. Macoska and the Program Committee have worked very hard to put to- gether an outstanding program with state-of-the art plenary sessions which will showcase how basic and translational research in urological diseases is breaking new grounds in individualized medicine. The symposium will not only cover areas from genomics, proteomics and metabolomics of both the benign and malignant urologic diseases, but will also highlight the works of several past presidents of the SBUR. We are fortunate to have several world-renowned speakers. This includes the inaugural Leland W.K. Chung Annual Lecture, delivered by Dr. Martin Jack Blaser, who will speak on “The Human Microbiome: At the Interface of Health and Disease.” Addi- tionally, the AUA lecture will be delivered by Dr. Arthur Burnett, who will speak on “Neuronal Nitric Oxide Signaling Regulates Erection Recovery after Cavernous Nerve Injury.” The symposium will have five plenary ses-Jill A. Macoska, PhD2012 – 2013 SBUR Organizing Committee Chair sions, four of which are related to cellular processes that can be targetedUniversity of Michigan Health System for developing novel biomarkers and targeted therapies for both benign and malignant urological diseases. These sessions are: 1) “Cells Behav-ing Badly: Genomically-Driven Mechanisms that Promote GU Pathobiology and Disease”; 2) “Cellular Lifeand Death Decisions: Autophagy and Apoptosis in GU Pathobiology”; 3) “Bridging Basic, Translational andClinical Research in Genitourinary Disease”; and 4) “Cellular Chatter: Tissue Microenvironment in GU De-velopment and Disease.” Since this is the Silver Jubilee year, Dr. Macoska has added a special plenary session,“Mentors and Trainees: Inspiration and Success,” which will include talks from well-established senior mentorsand their successful (and now well-established) trainees, whom have chosen urology research as their careerpath. The meeting will also include poster sessions, travel awards and special recognition of Dr. Jim Mohler asthe SBUR Distinguished Service Award recipient.The venue of this meeting is simply stunning, with the deep blue-green Atlantic Ocean and white sandy beachesas a backdrop. There is plenty to do when the meeting is not in session, including relaxing by ocean-side pools.The Trump International Beach Resort is easily accessible from both Miami International and Fort LauderdaleInternational Airports.Being the Silver Jubilee year, most past presidents and many of our former Travel Award and Young Investi-gator Award recipients will be attending the meeting. This should provide plenty of opportunities for youngresearchers to interact with established investigators and peers in a friendly, informal setting. Dr. Macoska andher team are making every effort to secure funding for travel awards, so graduate students, postdoctoral fellowsand residents can attend this exciting meeting.I guarantee the meeting will be a fun, learning and networking experience that you won’t want to miss. Sopack your bags this November and head to Miami Beach, Florida, where blue ocean water and exciting scienceawaits!Sincerely,Vinata Lokeswhar, PhDJill A. Macoska, PhD Plan your abstract submissions now! Abstracts will be accepted online only. The submission deadline is September 7, 2012, 5:00 p.m. ET. Travel awards will be offered!
NEW Corporate MembershipBOARD OF DIRECTORS Category ApprovedSociety for Basic Urologic Research2012 – 2013 Successful commercial and non-profit organizations pursue oppor- tunities to develop mutually beneficial partnerships and other col- laborative relationships. SBUR has taken time to carefully listen toOFFICERS the needs of its industry colleagues, and as a result, is now proud to unveil a new corporate membership program that seeks to benefitPresident all who are involved in urology and urologic research.Vinata Lokeshwar, PhD Corporate membership in SBUR demonstrates an organizationsUniversity of Miami School of Medicine commitment to urologic research and provides invaluable visibili- ty and networking opportunities within the urologic research com-Vice President munity. Laboratory suppliers, as well as pharmaceutical and bio-Marianne Sadar, PhD technology companies, whose research interests intersect with ourBC Cancer Agency memberships, can benefit from participation in the SBUR. SBUR membership includes members who can act as consultants, sound-Secretary ing boards and research development collaborators for companiesJill A. Macoska, PhD looking to develop products for application in urologic disease.University of Michigan Health System Please invite your industry colleagues to join SBUR today! Let’sTreasurer begin to work together toward our common goals of better patientRobert A. Sikes, PhD care.The Laboratory for Cancer Ontogeny and Therapeutics For more information, contact Donna Kelly at donna@wjweiser. com or (847) 264-5920.Past PresidentZhou Wang, PhDUniversity of Pittsburgh Cancer Institute 2012 SBUR Fall Symposium FacultyMembers At Large Rosalyn M. Adam, PhDNeil Bhowmick, PhD Martin J. Blaser, MDCedars Sinai Medical Center Arthur L. Burnett, II, MD Ralph Buttyan, PhDHari K. Koul, MSc, PhD, FACN, FASN Zoran Culig, MDUniversity of Colorado, Denver Dolores Di Vizio, MD, PhD Michael Freeman, PhDCindy Miranti, PhD Leo Giambarresi, MD, PhDVan Andel Research Institute Angelo E. Gousse, MD Thomas S. Griffith, PhDAd Hoc Members Simon W. Hayward, PhDZoran Culig, MD John T. Isaacs, PhDMedical University of Innsbruck Michael Ittmann, MD, PhD David F. Jarrard, MDTimothy L. Ratliff, PhD M. Vijay Kumar, PhDPurdue Cancer Center Natasha Kyprianou, MD, PhD Dolores J. Lamb, PhDScientific Program Chair Peng Lee, MD, PhDJill A. Macoska, PhD Vinata Lokeshwar, PhD Jill A. Macoksa, PhDEXECUTIVE OFFICE Paul Marker, PhD David McConkey, PhDExecutive Director Carrie Rinker-Schaeffer, PhDWendy J. Weiser Diane M. Robins, PhD Charles J. Rosser, MDManaging Director David R. Rowley, PhDSue OSullivan Shahrokh F. Shariat, MD Mark S. Soloway, MD Arun Sreekumar, PhD Yoshiki Sugimura, MD Scott Tomlins, MD, PhD Donald L. Trump, MD Zhou Wang, PhD
2012 SBUR Fall Symposium “The 25th Anniversary of the SBUR: Looking Back to Move Forward” November 15 – 18, 2012 ● Trump International Beach Resort ● Miami Beach, Florida *All sessions are located in the Ocean Ballroom unless otherwise noted. THURSDAY, NOVEMBER 15, 20122:00 p.m. – 8:00 p.m. Registration/Information Desk Location: Ocean A Foyer2:30 p.m. – 5:00 p.m. Board of Directors Meeting Location: Atlantic Room8:00 p.m. – 9:30 p.m. Exhibit Hall Location: Bay Room6:45 p.m. – 7:00 p.m. Welcome & Introductory Remarks Vinata Lokeshwar, PhD University of Miami School of Medicine, Miami, FL SBUR President 2011 – 20127:00 p.m. – 8:00 p.m. Leland W.K. Chung Lecture The Human Microbiome: At the Interface of Health and Disease Martin J. Blaser, MD New York University Langone Medical Center, New York, NY8:00 p.m. – 9:30 p.m. Networking Reception in Exhibit Hall Location: Bay Room FRIDAY, NOVEMBER 16, 20127:00 a.m. – 3:00 p.m. Exhibit Hall Location: Bay Room7:00 a.m. – 5:30 p.m. Registration/Information Desk Location: Ocean A Foyer7:00 a.m. – 8:00 a.m. Continental Breakfast Location: Bay Room8:00 a.m. – 12:00 p.m. Plenary Session I Cells Behaving Badly: Genomically-Driven Mechanisms that Promote Genitourinary Pathobiology and Disease 8:00 a.m. – 8:05 a.m. Introduction Moderator: Jill A. Macoska, PhD University of Michigan Health System, Ann Arbor, MI 8:05 a.m. – 8:30 a.m. Insulin-Like Growth factor-2 (IGF2) Loss of Imprinting Marks a Field Defect Within Human Prostates Containing Cancer David F. Jarrard, MD University of Wisconsin, Madison, WI 8:30 a.m. – 8:55 a.m. Individualized Medicine: Genomics to Targeted Therapy for Kidney Tumors Vinata Lokeshwar, PhD University of Miami School of Medicine, Miami, FL 8:55 a.m. – 9:20 a.m. Frequent Heterogeneous Missense Mutations of GGAP2 in Prostate Cancer Michael Ittmann, MD, PhD Baylor College of Medicine, Houston, TX
9:20 a.m. – 9:35 a.m. Travel Award Winner 9:35 a.m. – 9:50 a.m. Break Location: Bay Room 9:50 a.m. – 10:15 a.m. Androgen Receptor Function in Prostate Cancer: Insights from Mutations and Mice Diane M. Robins, PhD University of Michigan, Ann Arbor, MI 10:15 a.m. – 10:40 a.m. Aberrations in Pseudoautosomal Regions (PARs) Found in Infertile Men with Y-Chromosome Microdeletions Dolores J. Lamb, PhD Baylor College of Medicine, Houston, TX 10:40 a.m. – 11:05 a.m. A Signal Pathway-Based Proteins and Network for Aggressive Prostate Cancer Peng Lee, MD, PhD New York University School of Medicine, New York, NY 11:05 a.m. – 11:30 a.m. Translating the Prostate Cancer Genome to the Clinic Scott Tomlins, MD, PhD University of Michigan, Ann Arbor, MI 11:30 a.m. – 11:45 a.m. Travel Award Winner 11:45 a.m. – 12:00 p.m. Summary & Discussion Jill A. Macoska, PhD University of Michigan Health System, Ann Arbor, MI12:00 p.m. – 1:00 p.m. Industry Sponsored Lunch Symposium Location: Ocean Ballroom “Biological Immune Response Modifier (BIRM) Anti-Cancer Compound” Edwin Cevallos, MD CEO, EcuaBIRM Cia, Ltda. Quito, Ecuador1:00 p.m. – 5:15 p.m. Plenary Session II Cellular Life and Death Decisions: Autophagy and Apoptosis in Genitourinary Pathobiology 1:00 p.m. – 1:10 p.m. Introduction Moderator: Zhou Wang, PhD University of Pittsburgh Cancer Institute, Pittsburgh, PA 1:10 p.m. – 1:40 p.m. Eradication of Metastatic Renal Cell Carcinoma After Adenovirus-Encoded TNF-Related Apoptosis-Inducing Ligand (TRAIL)/CpG Immunotherapy Thomas S. Griffith, PhD University of Minnesota, Minneapolis, MN 1:40 p.m. – 2:10 p.m. Sorafenib Decreases Proliferation and Induces Apoptosis of Prostate Cancer Cells by Inhibition of the Androgen Receptor and AKT Signaling Pathways Zoran Culig, MD Medical University of Innsbruck, Innsbruck, Austria 2:10 p.m. – 2:40 p.m. Novel Role of Androgens in Mitochondrial Fission and Apoptosis M. Vijay Kumar, PhD Charlie Norwood VA Medical Center, Augusta, GA 2:40 p.m. – 2:55 p.m. Break Location: Bay Room 2:55 p.m. – 3:25 p.m. Proteasome Inhibitors Activate Autophagy as a Cytoprotective Response in Human Prostate Cancer Cells David McConkey, PhD University of Texas MD Anderson Cancer Center, Houston, TX
3:25 p.m. – 3:40 p.m. Travel Award Winner 3:40 p.m. – 4:10 p.m. Summary & Discussion Zhou Wang, PhD University of Pittsburgh Cancer Institute, Pittsburgh, PA 4:10 p.m. – 4:15 p.m. Introduction to AUA Lecture Speaker TBD 4:15 p.m. – 5:15 p.m. AUA Lecture Nitric Oxide in the Penis: Scientific Discoveries and Clinical Applications Arthur L. Burnett, II, MD Johns Hopkins Hospital, Baltimore, MD5:15 p.m. – 7:00 p.m. Poster Session I / Reception and Awards Presentation Location: Bay Room SATURDAY, NOVEMBER 17, 20127:00 a.m. – 10:30 a.m. Exhibit Hall Location: Bay Room7:00 a.m. – 5:30 p.m. Registration/Information Desk Location: Ocean A Foyer7:00 a.m. – 8:00 a.m. Continental Breakfast Location: Bay Room8:00 a.m. – 12:00 p.m. Plenary Session III Bridging Basic, Translational and Clinical Research in Genitourinary Disease 8:00 a.m. – 8:10 a.m. Introduction Moderator: Vinata Lokeshwar, PhD University of Miami School of Medicine, Miami, FL 8:10 a.m. – 8:40 a.m. Multi-Analyte Assay for the Non-Invasive Detection of Bladder Cancer Charles J. Rosser, MD University of Texas MD Anderson Cancer Center, Houston, TX 8:40 a.m. – 9:10 a.m. Pathologic Prostate Cancer Characteristics in Patients Eligible for Active Sur- veillance Mark S. Soloway, MD University of Miami, Miami, FL 9:10 a.m. – 9:40 a.m. Metabolomic Profiling Reveals Potential Markers and Bioprocesses Altered in Bladder Cancer Progression Arun Sreekumar, PhD Baylor College of Medicine, Houston, TX 9:40 a.m. – 9:55 a.m. Break Location: Bay Room 9:55 a.m. – 10:25 a.m. Vitamin D and Cancer: Clinical Aspects Donald L. Trump, MD Roswell Park Cancer Institute, Buffalo, NY 10:25 a.m. – 10:40 a.m. Biomolecular Predictors of Urothelial Cancer Behavior and Treatment Outcomes Shahrokh F. Shariat, MD Weill Cornell Medical School, New York, NY
10:40 a.m. – 11:10 a.m. Micro-RNA Profiling of Prostate Cancer Cell-Derived Large Oncosomes Identifies a Signature of Invasion and Metastasis Dolores Di Vizio, MD, PhD Children’s Hospital, Boston, MA 11:10 a.m. – 11:40 a.m. The Emerging Role of Botulinum Toxin A in the Management of Voiding Dysfunction: Novel Insights in the Mechanism of Action Angelo E. Gousse, MD Bladder Health & Reconstructive Urology Institute, Miramar, FL 11:40 a.m. – 11:55 a.m. AUA Foundation Update Leo Giambarresi, MD, PhD AUA Foundation, Linthicum, MD 11:55 a.m. – 12:10 p.m. Travel Award Winner 12:10 p.m. – 12:30 p.m. Panel and Audience Discussion12:30 p.m. – 3:30 p.m. Free Time3:30 p.m. – 5:15 p.m. Plenary Session IV Mentors and Trainees: Inspiration and Success 3:30 p.m. – 3:40 p.m. Introduction Ralph Buttyan, PhD Vancouver General Hospital, Vancouver, BC, Canada 3:40 p.m. – 3:55 p.m. Heparin-Binding EGF-Like Growth Factor in Urologic Disease: A 15-Minute History of a Notably Versatile Molecule Mentor: Michael Freeman, PhD Cedars-Sinai Medical Center, Los Angeles, CA 3:55 p.m. – 4:10 p.m. HB-EGF: The Next Generation and Beyond Trainee: Rosalyn M. Adam, PhD Children’s Hospital Boston/Harvard University, Boston, MA 4:10 p.m. – 4:25 p.m. Tasquinimod Prevents the Angiogenic Rebound Induced by Fractionated Radiation Resulting in an Enhanced Therapeutic Response of Prostate Cancer Xenografts Mentor: John T. Isaacs, PhD Johns Hopkins Oncology Center, Baltimore, MD 4:25 p.m. – 4:40 p.m. Apoptosis Exploitation in Prostate Cancer Therapy Trainee: Natasha Kyprianou, MD, PhD University of Kentucky Medical Center, Lexington, KY 4:40 p.m. – 4:55 p.m. Time-Dependent Transcriptional Profiling Links Gene Expression to Mitogen- Activated Protein Kinase Kinase 4 (MKK4)-Mediated Suppression of Omental Metastatic Colonization Trainee: Carrie Rinker-Schaeffer, PhD IL University of Chicago, Chicago, 4:55 p.m. – 5:15 p.m. Recognition of Past Presidents Vinata Lokeshwar, PhD University of Miami School of Medicine, Miami, FL CONCURRENT SESSIONS5:15 p.m. – 7:00 p.m. Poster Session II Location: Bay Room5:15 p.m. – 7:00 p.m. Reception Hors d’Oeuvres and Beverages
SUNDAY, NOVEMBER 18, 20127:00 a.m. – 12:00 p.m. Registration/Information Desk Location: Ocean A Foyer7:00 a.m. – 8:00 a.m. Continental Breakfast Location: Ocean A Foyer8:00 a.m. – 11:50 a.m. Plenary Session V Cellular Chatter: Tissue Microenvironment in GU Development and Disease 8:00 a.m. – 8:10 a.m. Introduction Simon W. Hayward, PhD Vanderbilt University School of Medicine, Nashville, TN 8:10 a.m. – 8:40 a.m. Role of Reactive Stroma in Prostate Disease David R. Rowley, PhD Baylor College of Medicine, Houston, TX 8:40 a.m. – 9:10 a.m. Sulfatase 1 is an Inhibitor of Ductal Morphogenesis with Sexually Dimorphic Expression in the Urogenital Sinus Paul Marker, PhD University of Wisconsin, Madison, WI 9:10 a.m. – 9:40 a.m. Altered TGF-B Signaling in a Subpopulation of Human Stromal Cells Pro- motes Prostatic Carcinogenesis Simon W. Hayward, PhD Vanderbilt University School of Medicine, Nashville, TN 9:40 a.m. – 10:10 a.m. 2nd International Scholars Lecture Experimental Approach Targeting Tumor-Stromal Interactions in Prostate Cancer Microenvironment Yoshiki Sugimura, MD Mie University School of Medicine, Tsu, Mie, Japan 10:10 a.m. – 10:25 a.m. Break Location: Ocean A Foyer 10:25 a.m. – 10:55 a.m. Paracrine Hedgehog Increases the Steroidogenic Potential of Prostate Stromal Cells in a Gli-Dependent Manner Ralph Buttyan, PhD Vancouver General Hospital, Vancouver, BC, Canada 10:55 a.m. – 11:25 a.m. Prostatic Fibrosis is Associated with Lower Urinary Tract Dysfunction Jill A. Macoska, PhD University of Michigan Health System, Ann Arbor, MI 11:25 a.m. – 11:40 a.m. Travel Award Winner 11:40 a.m. – 11:50 a.m. Summary and Discussion Simon W. Hayward, PhD Vanderbilt University School of Medicine, Nashville, TN11:50 a.m. – 12:00 p.m. Farewell Vinata Lokeshwar, PhD University of Miami School of Medicine, Miami, FL SBUR President 2011 – 2012
GENERAL MEETING EVENING FUNCTIONSINFORMATION One ticket to each evening function is included in your regis-Travel Awards tration fee. Additional tickets for Saturday night’s receptionA limited number of travel awards will be provided to junior re- can be purchased at $40 each.searchers. Students, post-doctoral fellows and junior faculty be-low the level of assistant professor are eligible for this award. Networking ReceptionThose who would like to be considered for the award should in- Date: Thursday, November 15, 2012dicate this on the online Abstract Submission Form. Award win- Time: 8:00 p.m. – 9:30 p.m.ners will be selected by a committee based on the quality of the Location: Bay Roomabstracts submitted. The best three abstracts will be selected for Attire: Business Casualoral presentations, unless the author requests in a letter that she/hewould prefer not to give a podium presentation. Only first authors Poster Session I / Reception and Awards Presentationof the abstracts will be considered for the award. Date: Friday, November 16, 2012 Time: 5:15 p.m. – 7:00 p.m.Registration/Information Desk Hours: Location: Bay RoomLocation: Ocean A Foyer Attire: Business CasualThursday, November 15, 2012 2:00 p.m. – 8:00 p.m.Friday, November 16, 2012 7:00 a.m. – 5:30 p.m. Poster Session II / Reception — Hors d’Oeuvres and BeveragesSaturday, November 17, 2012 7:00 a.m. – 5:30 p.m. Date: Saturday, November 17, 2012Sunday, November 18, 2012 7:00 a.m. – 12:00 p.m. Time: 5:15 p.m. – 7:00 p.m. Attire: Business CasualExhibit Hall Hours: Finish off the 2012 SBUR Fall Symposium amongst your oldLocation: Bay Room and new friends and colleagues on Saturday evening over drinksThursday, November 15, 2012 8:00 p.m. – 9:30 p.m. and hors d’oeuvres.Friday, November 16, 2012 7:00 a.m. – 3:00 p.m.Saturday, November 17, 2012 7:00 a.m. – 10:30 a.m. Trump International Beach Resort HOTEL INFORMATION 18001 Collins Avenue Miami Beach, FL 33160 Main: (305) 692-5600 Fax: (305) 692-5601 Website: www.trumpmiami.com Room Rate: $179.00 for a single or double occupancy (plus tax) Hotel Deadline: October 22, 2012 Reservation Line: (800) 340-9789 Room Rate The Society of Basic Urologic Research (SBUR) has negotiated a discounted rate of $179.00 plus tax (currently 13%), and a resort fee of $10.00 per room for a single or double occupancy at the Trump International Beach Resort. Hotel Deadline The deadline to receive the SBUR group rate is 10/22/12. SBUR encourages you to make your reservation early, as the hotel and discount block may sellout be- fore this date. After this date, reservations will be accepted based on availability and higher rates may apply. Reservations Attendees are responsible for making their reservations by calling the hotel res- ervation line at (800) 340-9789 or visiting the website at www.trumpmiami.com. Please reference the SBUR to receive the discounted rate. Hotel Deposit & Cancellation Policy Attendees will have up until three days prior to arrival to cancel their reserva- tions without inquiring a cancellation fee. If the attendees cancel their reservation within the three days they will be charged one nights room and tax as the cancella- tion fee.
TRAVEL & ADDITIONAL REGISTRATION TRANSPORTATION INFORMATIONAirport Information Registration Fee Includes:Fort Lauderdale Airport is approximately 14 miles from Trump • Admission to all lecturesInternational Beach Resort or 20 minutes by car. Miami International • Continental breakfastsAirport is approximately 22 miles from the Trump International • Thursday night receptionBeach Resort or 35 minutes by car. • Friday lunch • Friday night receptionTaxi Cab Services • Saturday night hors d’oeuvres and beveragesSeveral taxi companies operate at the Fort Lauderdale and Miami Spouse Registration Fee Includes:International Airports: • Continental breakfasts • Thursday night receptionFort Lauderdale • Friday lunchYellow Cab: (954) 777-7777 • Friday night receptionFort Lauderdale Taxi: (954) 888-2222 • Saturday night hors d’oeuvres and beveragesFort Lauderdale Taxi Cab (877) 806-6134 Early Registration DeadlineMiami Meeting registration forms must be received by the SBUR ExecutiveDiamond Cab: (305) 545-7575 Office by 10/22/12 to receive the discounted early registration rate.Central Cab: (305) 532-5555 All forms received after this deadline will be assessed the regular reg-Yellow Cab: (305) 444-4444 istration fee.Rental Car Information Registration Cancellation & Refund PolicyAvis Rent-A-Car is the official rental car company for the SBUR Registration refund requests must be submitted in writing to the SBURmeeting. For reservations, please call (800) 331-1600, and use the Executive Office by 10/24/12. All refund requests will be subject to acode “J901055” to receive the discounted rates. $100 processing fee. No refunds will be made after 10/24/12.ParkingThe Trump International Beach Resort offers valet for $15.00 per Special Needsday and $30.00 for overnight parking. Please note that rates are For accommodations on the basis of disability or special dietarysubject to change. needs, please call (847) 517-7225. Questions Please feel free to contact the SBUR Executive Office by: Phone: (847) 517-7225 Fax: (847) 517-7229 Email: firstname.lastname@example.org Website: www.sbur.org CALL FOR ABSTRACTS General Disclaimer The statements and opinions contained in this program are solely Plan your abstract submissions now! Ab- those of the individual authors and contributors and not of the SBUR. stracts will be accepted online only. The The appearance of the advertisements is not a warranty, endorsement, submission deadline is September 7, or approval of the products or services advertised or of their effective- 2012, 5:00 p.m. ET. Travel awards will ness, quality or safety. The content of this publication may contain discussion of off-label uses of some of the agents mentioned. Please be offered! consult the prescribing information for full disclosure of approved uses. The SBUR disclaims responsibility for any injury to persons or property resulting from any ideas or products referred to in the abstracts or advertisements.
SBUR Fall Symposium Registration Form November 15 – 18, 2012 The deadline for discounted early registration is 10/22/12. After 10/22/12 regular registration fees will apply to online & on-site registration. Registration Fees are subject to change. To lock in these rates, register now.Please print clearlyName:__________________________________________ Degree(s):__________________________ Badge First Name:_______________Institution (for name badge):___________________________________________________________________________________________Address:_______________________________________________________________________________________ o Home o OfficeCity:___________________________________________________ State:_________________________Zip:_________________________Phone:_________________________ Fax:_________________________Email:________________________________________________Also pre-register:o Spouse Name:_____________________________________________________________________o Guest Name:_____________________________________________________________________o Guest Name:_____________________________________________________________________ MEETING REGISTRATIONPlease check the appropriate registration category below. Registration fee includes admission to all lectures, Continental breakfasts,Thursday night reception, Friday lunch, Friday night reception, and Saturday hors d’oeuvres and beverages.Registration Categories Early Regular Total Discounted Fees Cost (through 10/22/12) (after 10/22/12)o SBUR Member $465 $515 =$ o Non-Member $540 $615 =$ o SBUR Member Student/Trainee $175 $195 =$ o Non-Member Student/Trainee $195 $215 =$ o Corporate Member Complimentary # of Peopleo Spouse/Guest ________ x $100 $150 =$_____Industry – If you are an employee of industry, you must register in one of these two categories:o 2012 SBUR Fall Symposium Promotional Partner or Exhibitor $515o NOT a 2012 SBUR Fall Symposium Promotional Partner or ExhibitorNOTE: If you are employed by industry and your company is not exhibiting at the 2012 SBUR Fall Symposium but would like to register toattend this conference, please contact J.P. Baunach at (847) 264-5942 or by email email@example.com in the SBUR executive office to confirmyour registration.
ADDITIONAL TICKETS *Additional Evening Function Tickets for Non-Registered Guests:*One ticket is included with attendee and spouse registration. Please only purchase if you are bringing additional non-registered guests.Saturday, November, 17, 2012Hors d’oeuvres and Beverages # of tickets = ______ at $40 per ticket = ________ Total Registration Fee $_____________ Total Additional Evening Functions Tickets $_____________ Grand Total $_____________ PAYMENT INFORMATIONThe SBUR requires payment for registration fees and full payment of optional activities by check or credit card.o Check (payable to the SBUR) o Visa o MasterCard o American Express Credit Card #:______________________________________________________________________________________________________Expiration Date:__________________________________________CVV#:____________________________________________________Name on Credit Card:_______________________________________________________________________________________________Billing Address:____________________________________________________________________________________________________If paying by check, please forward payment to: SBURAttn: RegistrationTwo Woodfield Lake1100 East Woodfield Road, Suite 520Schaumburg, IL 60173-5116 REGISTRATION CANCELLATION & REFUND POLICYRegistration refund requests must be submitted in writing to the SBUR Executive Office by 10/24/12. All refund requests will be subject to a$100 processing fee. No refunds will be made after 10/24/12.
SAVE THE DATE! SBUR at the AUA Spring Meeting May 2013 San Diego, CA