Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the required information marked with an asterisk (*). Start with the name of the person subscribing and include their AUA ID number, if applicable.
3. Enter the job title and name of your practice in the designated fields. Be sure to provide an accurate account of how many urologists are affiliated with your practice.
4. If the practice manager’s name differs from the subscriber's name, please include that information in the appropriate field.
5. Complete your address details, including city, state, and ZIP code. Accurate information is crucial for correspondence.
6. Fill in the required email address and office phone and fax numbers to facilitate communication.
7. Review the subscription fee of $349 and fill in the total fee. Choose your payment method, either by check or credit card.
8. If selecting credit card payment, ensure to include the cardholder’s signature, card number, expiration date, and billing address in the specified fields.
9. After filling out the form, save your changes, and consider downloading or printing a copy for your records.
10. Finally, submit your completed form, either by faxing it to 410-689-3912, mailing it to the provided address, or emailing it to pracman@AUAnet.org.

Complete your AUA Practice Managers Network form online today to gain access to invaluable resources and support for your practice.