UF Urology Turns 60! Celebrating 60 years of Urology Training | UF Urology Visiting Professor/UroGators Alumni Weekend | October 5 – 6, 2018 Please RSVP attendance and entree selections by 9/21/18. If you have any questions, please email ronda.patton@urology.ufl.edu. Name* First Last AffiliationAddress* Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* RSVP for Visiting Professor Lecture | Friday, 10/5 at 5:00 pm* YES, I will attend the Visiting Professor Lecture on Friday, 10/5 at 5:00 pm No, I am unable to attend RSVP for UF Urology Turns 60 Celebration | Friday, 10/5 at 7:00 pm* YES, I will attend UF Urology Turns 60 Celebration Friday, 10/5 at 7:00 pm No, I am unable to attend Number of Guest(s) Attending*Name | Guest 1Entree Selection | Guest 1 Pepper Crusted Beef Filet, 8oz, with Creamy Bourbon Sauce Grilled Caprese Chicken Teriyaki Grilled Salmon Filets Ricotta & Basil Stuffed Italian Shells with Marinara Sauce Vegan Pesto, Spinach & Quinoa Stuffed Roma Tomatoes Name | Guest 2Entree Selection | Guest 2 Pepper Crusted Beef Filet, 8oz, with Creamy Bourbon Sauce Grilled Caprese Chicken Teriyaki Grilled Salmon Filets Ricotta & Basil Stuffed Italian Shells with Marinara Sauce Vegan Pesto, Spinach & Quinoa Stuffed Roma Tomatoes RSVP for UroGators Alumni Society Tailgate | Saturday, 10/6, Time TBD* YES, I will attend the UroGators Alumni Society Tailgate on Saturday, 10/6, Time TBD No, I am unable to attend Number of Guest(s) Attending*
