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301.924.7077 40
REGISTRATION FORM
130th AOAC Annual Meet ing & Expos i t ion
Dallas, Texas  September 18–21, 2016
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 4, 2016)
 AOAC Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $500______________
 Nonmembers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$675______________
Advance Registration (between August 5 and September 12, 2016)
 AOAC Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $600______________
 Nonmembers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$780______________
On-Site and Late Registration (NEW!)
AOAC will keep registration open online after September 12, 2016. To avoid
long registration lines, please register online and bring your receipt to the
registration desk. Or you may still register on-site in Dallas 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 +1-301-924-7077 ext. 170.
STEP 4: SUBMIT YOUR REGISTRATION
By Internet: Register online at
By Fax: Return your completed registration form with credit card information
to +1-301-924-7087.
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