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.