AOAC 2017 Annual Meeting Preliminary Program

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 ________________________________________________________  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 . STEP 2: SELECT APPLICABLE FEES ANNUAL MEETING REGISTRATION FEES Early-Bird Registration (on or before August 10, 2017)

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@ aoac.org or call +1-301-924-7077 ext. 170. STEP 4: SUBMIT YOUR REGISTRATION By Internet : Register online at www.aoac.org. 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 www.aoac.org or write to meetings@aoac.org

WWW.AOAC.ORG  301.924.7077 41