AOAC 2017 Annual Meeting Preliminary Program

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REGISTRATION FORM
131s t AOAC Annual Meet ing & Expos i t ion
STEP 1: REGISTRANT INFORMATION
AOAC Member Number (if applicable) _________________________________
Salutation  Dr.  Mr.  Mrs.  Ms.
First/Given Name _________________________________________________
Last/Family Name _________________________________________________
Address _________________________________________________________
City/State/Province ________________________________________________
Zip/Postal Code/Country ___________________________________________
Telephone _______________________________________________________
E-mail ___________________________________________________________
Job Title _________________________________________________________
Employer ________________________________________________________
STEP 2: SELECT APPLICABLE FEES
ANNUAL MEETING REGISTRATION FEES
Early-Bird Registration (on or before August 10, 2017)
 AOAC Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500 _____________
 Nonmembers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$675 _____________
Advance Registration (between August 11 and September 18, 2017)
 AOAC Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $600 _____________
 Nonmembers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$780 _____________
On-Site and Late Registration
AOAC will keep registration open online after September 18, 2017. To avoid
long registration lines, please register online and bring your receipt to the
registration desk. Or you may still register on-site in Atlanta at the following
rates:
 AOAC Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $700 _____________
 Nonmembers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$870 _____________
Registration Fees for
 Guest/Spouse of Registered Attendees . . . . . . . . . . . $135 _____________
Guest Name ______________________________________________________
 Student Members* . . . . . . . . . . . . . . . . . . . . . . . . . . . .$150 _____________
 Student Nonmembers* . . . . . . . . .. . . . . . . . . . . . . . . .$200 _____________
 Attendees from Developing Countries . . . . . . . . . . . . .$180 _____________
* You must show your Student ID to obtain your badge.
AOAC MEMBERSHIP DUES (OPTIONAL)
For renewal of current members or new members who wish to take
advantage of the member discounts on meeting registration fees.
 Yes! I want to join AOAC to take advantage of the meeting discounts.
 1 Year membership . . . . . . . . . . . . . . . . . . . . . . . . .$120 ________________
 Student membership . . . . . . . . . . . . . . . . . . . . . . . . $40 ________________
 Technical Division on Reference Materials . . . . . . . $20 ________________
 Technical Division for Laboratory Management . . . $20 ________________
 Bank wire transfer fee (if applicable) . . . . . . . . . . . .$15 ________________
TOTAL (all registration fees and membership) . . . . . . ____________________
STEP 3: PAYMENT INFORMATION
 Check or money order enclosed. Payable to AOAC INTERNATIONAL. U.S.
funds drawn on U.S. banks only.
 Visa  MasterCard  American Express
Name on Card ____________________________________________________
Card Number _____________________________________________________
Expiration Date ___________________________________________________
Signature ________________________________________________________
Security Code ____________________________________________________
 Bank Wire Transfer. Please e-mail Customer Service at customerservice@
or call ext. 170.
STEP 4: SUBMIT YOUR REGISTRATION
By Internet: Register online at
By Fax: Return your completed registration form with credit card information
to .
By Mail: Send your completed registration form with
payment to:
AOAC INTERNATIONAL
2275 Research Blvd
Suite 300
Rockville, Maryland 20850-3250, USA
For more information visit
or write to