AACC International Annual Meeting October 23–26, 2016

advertisement
2016 AACC International Annual Meeting Registration Form
AACC International Annual Meeting
October 23–26, 2016 • Savannah, Georgia, U.S.A.
Profile Data
Please complete the following:
Select a Category that Best Describes
Your Work
A
B
C
D
Register Now!
Register online at www.aaccnet.org/meet
❏Academia
❏Government
❏Industry
❏Student
Title – Select One
Member ID Number ________________________________________________________________________
Complete the following information. Please print clearly to ensure correct spelling on
name badge.
Registrant is
o Mr. oMale oFemale
o Mrs.
o Ms.
o Dr.
First Name ____________________________________________________ Middle Initial _____________
Name Preferred on Badge (first name only) ___________________________________________________
Last/Surname_____________________________________________________________________________
Job Title __________________________________________________________________________________
Date of Birth (optional) _____________________________________________________________________
MonthDay Year
Guest’s Name (first, last) ____________________________________________________________________
Information below is
o New Address
Primary Job Responsibility – Select One
o Alternate Address
Employer/Company/Institution_____________________________________________________________
Company Address _________________________________________________________________________
Street
___________________________________________________________________________________________
___________________________________________________________________________________________
City
State/Province
___________________________________________________________________________________________
Zip/Postal Code
A ❏ President; Vice President; Other Corporate Official
B ❏ Director; Manager; Department Head; Supervisor; Group Leader
C ❏ Scientist (e.g., Technologist, Microbiologist, Nutritionist); Lab
Personnel; Other Scientific Personnel
D ❏ Plant Manager; Superintendent; Engineer; Other Production Personnel
E ❏ Professor; Post-Doctorate; Student; Other University Personnel
F ❏ Director; Exec. of Prof. Assoc/Soc; Publisher; Lawyer; Staff of Other Food Industry Org.
G ❏ Technical Sales/Service; Marketing
I
❏Consultant
J ❏Retired
Country
Office Phone ______________________________________________________________________________
Mobile Phone _____________________________________________________________________________
Fax_______________________________________________________________________________________
E-mail____________________________________________________________________________________
Emergency Contact:
A ❏ R&D, Product Development
B ❏ QC/QA, Regulatory
C ❏ Engineering, Processing
D ❏ Sales, Marketing
E ❏Education
F ❏Consultant
G ❏Other
_________________________________
Purchasing Influence (select, approve,
recommend)—Select all that apply
A ❏Ingredients
B ❏ Lab instrumentation and
products, pilot plant equipment
C ❏ Processing and packaging
equipment and instrumentation
D ❏Services
E ❏Other
_________________________________
Name____________________________________________________________________________________
Telephone (October 23–26, 2016) __________________________________________________________
Register online at: www.aaccnet.org/meet
Mail or fax form and payment to:
AACC International Annual Meeting Registration
411 Lafayette Street, Suite 201
New York, NY 10003 U.S.A.
Phone: +1.212.460.9700
Fax: +1.212.460.5460 (Faxed forms must include
credit card information to be processed.)
o Check here if you require special
meals or accommodations to fully
participate in this meeting and include
a written description of your needs.
List needs: _________________________
____________________________________
____________________________________
Reverse Side Must Be Completed To Register. Thanks!
Cancellation/Refund Policy
Registration cancellations must be made
in writing and received by AACCI, no later
than September 9, 2016. Cancellations
received by this date are subject to a $125
processing fee; ticketed events will be fully
refunded. Ticketed events and meeting
registration cancellations received after
September 9, 2016, are not subject to a
refund.
Special Savings for Nonmembers—
Meeting Plus Membership
Check out Meeting Plus Membership
registration fees.
2016 AACC International Registration Fees
Meeting Activities
Registration postmarked or faxed by date listed will be charged appropriate fee.
Registration includes entrance to the plenary sessions, scientific sessions including
the Wednesday Sustainability Symposium, posters, exhibits, Opening Exhibition
Reception, Tuesday Exhibit Hall Lunch, After Glow Reception.
Split pricing indicates regular/student fees.
Note: Every presenter of an oral or poster abstract must register by July 23, 2016
or the abstract will be withdrawn from the meeting. Every Late-Breaking Abstract
presenter must register by August 24, 2016 or the abstract will be withdrawn from
the meeting.
Early RegularAmount
by Aug. 15 starting
Registration (in U.S. Dollars)
Aug. 16
Member $690$780
_______
Student Member
$250
$310
_______
Meeting Plus Membership*
Registration plus Regular Membership
$780
$870
_______
Registration plus Student Membership
$295$355
_______
Nonmember
$790
$880_______
Life Member $270
$270
_______
Exhibitor**
$515$565_______
Pre-Meeting Workshop: Enzymes in Grain-Based
Products, 9:00 a.m. – 6:00 p.m.
AACCI Member
Nonmember
Student
Single Day (select one)
oMonday oTuesday oWednesday
$350
$350
_______
Sustainability Symposium Only (Wednesday) $350
$350
_______
Total Registration Fees $ _______
Guest***—See box below
*
Excludes current members and those whose membership lapsed within the past 12 months.
Students registering with the Meeting Plus Membership option
must have a faculty member sign here to qualify.
___________________________________________________________
Faculty Member Signature
** Each table-top exhibit includes one (1) free exhibitor registration.
Additional exhibitor registrations may be purchased.
*** Guest Program—Guests do not pay registration. Guests
wishing to attend receptions and luncheons must purchase
tickets in advance. Name badge and ticket are required to attend
ticketed functions. Guests do not have access to the sessions.
Coworkers and business associates are not considered guests
and must pay registration fees.
† Guests must purchase a ticket to attend this event.
Saturday, October 22
Quantity CostAmount
______$395______
______$425______
______$130______
Monday, October 24
Milling & Baking Division Meeting and
Lunch, 12:00 – 1:30 p.m. Nutrition Division Meeting and Lunch,
12:00 – 1:30 p.m.
Rice Division Lunch, 12:00 – 1:30 p.m. Cereals&Europe Section Dinner, 7:00 – 9:30 p.m.
Student Association Social and Dinner,
7:30 – 10:00 p.m.
______ $40/$20 ______
______ $35/$10 ______
______ $40/$30 ______
______$50/$30______
______$35______
Tuesday, October 25
Biotechnology and Protein Division Joint Social,
5:30 – 6:30 p.m.
Speed Mentoring Social (protégé), 6:00 – 7:30 p.m.
Speed Mentoring Social (mentor), 6:00 – 7:30 p.m.
Carbohydrate Division Dinner, 6:30 – 9:30 p.m. ______$10/$5______
______ No Fee ______
______ No Fee ______
______$65/$40______
Wednesday, October 26
Kansas State University Breakfast, 7:00 – 8:15 a.m.
North Dakota State University Alumni Breakfast,
7:00 – 8:15 a.m.
Box Lunch
Engineering & Processing Division Meeting
and Lunch, 12:00 – 1:30 p.m.
ICC Luncheon, 12:00 – 1:30 p.m.
Rheology Division Meeting and Lunch,
12:00 – 1:30 p.m.
Extra Tickets Only/Guests
Grand Opening Celebration, Sunday, Oct. 23†
Exhibit Hall Lunch, Tuesday, Oct. 25†
After Glow Reception, Tuesday, Oct. 25†
______ $35/$15 ______
______ $25/$15 ______
______
$29 ______
______ $35/$15 ______
______ $40/$20 ______
______ $30/$15 ______
______$50______
______$35______
______$15______
Payment Information
Additional Opportunities
o Check or money order enclosed, payable to AACC International
(U.S. funds only drawn on U.S. bank)
AACCI Student Travel Award Donation
(When you provide a check as payment, you authorize us to use information
from your check to make a one-time electronic fund transfer from your
account or to process the payment as a check transaction. Funds may be
withdrawn from your account the same day we deposit payment and you
may not receive your check back from your financial institution.)
oCharge:oVISA
oMC
o Am. Express
oDiscover
Card No. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Expiration Date: ____ ____ / ____ ____ CVV Code ______________
Cardholder Name (please print):
________________________________________________________________
Cardholder Signature (required):
________________________________________________________________
______$25______
Total Activities and Products $ ______
Grand Total (Registration and Ticket Fees) $ ______
Housing Reservations
Visit aaccnet.org/meet for hotel options. Discounted rates
available until September 27, 2016 or until
each room block fills out, whichever comes first.
Download