2011 AACC International Annual Meeting Registration Form AACC International Annual Meeting October 16–19, 2011 • Palm Springs, California, U.S.A. Advanced registration deadline—July 21, 2011 Register online at http://meeting.aaccnet.org
Profile Data Please complete the following: Select a Category that Best Describes Your Work A B C D
❏ 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 Male o Female
o Mr.
o Mrs.
o Ms.
o Dr.
First Name _____________________________________________ Middle Initial __________ Name Preferred on Badge (first name only) ___________________________________________ Last/Surname ___________________________________________________________________ Job Title ________________________________________________________________________ Date of Birth (new members only) ____________________________________________________
Month Day Year
Guest’s Name (first, last) ________________________________________________________________ Information below is
o New Address
o Alternate Address
Employer/Company/Institution ______________________________________________________ Company Address ________________________________________________________________ Street _______________________________________________________________________________ _______________________________________________________________________________ City
State/Province
_______________________________________________________________________________
Zip/Postal Code
Country
Daytime Telephone _______________________________________________________________ Facsimile _______________________________________________________________________ E-mail _________________________________________________________________________ Emergency Contact:
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 Primary Job Responsibility – Select One 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 16–19, 2011) ___________________________________________________
Mail or fax form and payment to: AACC International Annual Meeting Registration 3340 Pilot Knob Road St. Paul, MN 55121 U.S.A. Telephone: +1.651.454.7250 • Fax: +1.651.454.0766 (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.
Reverse Side Must Be Completed To Register. Thanks!
Cancellation/Refund Policy Registration cancellations must be made in writing and received by AACC Intl., no later than September 8, 2011. 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 8, 2011, are not subject to a refund.
Special Savings for Nonmembers— Meeting Plus Membership Check out Meeting Plus Membership registration fees.
Register by July 21 and SAVE! 2011 AACC International Registration Fees
Meeting Activities
Registration postmarked or faxed by date listed will be charged appropriate fee. Registration includes entrance to sessions, posters, exhibits, Opening General Session Reception, Grand Opening Exhibition, Tuesday Lunch, and Farewell Reception.
Split pricing indicates regular/student fees.
Advance Regular Late/Onsite Amount by July 21 by Sept. 15 starting Registration Sept. 16
Member $585 $660 $700 _______ Presenter $535 $610 $650 Student Member $190 $210 $250 _______ Meeting Plus Membership* Registration plus Regular Membership $665 $740 $780 _______ Registration plus Student Membership $233 $253 $293 _______ Nonmember $685 $760 $800 _______ Life Member $200 $200 $200 _______ Exhibitor** $425 $475 $475 _______ Single Day (select one) $315 $315 $315 _______ o Monday o Tuesday o Wednesday
Quantity Cost Amount
Sunday, October 16 1. Short Course—Product Development Challenges:Reducing Sodium and Increasing Fiber and Whole Grains, 8:30 a.m. – 4:00 p.m. AACC Intl. Member Nonmember Student 2. Premeeting Workshop—Cereal Chemists Working with Fiber, 1:00 – 4:00 p.m. 3. Premeeting Workshop—Improving the Functionality and Health Attributes of Wheat, 1:00 – 4:00 p.m. 4. Premeeting Workshop—Rice Quality—A Sensory Experience,1:00 – 4:00 p.m. 5. Speed Mentoring Event (protégé) 6. Speed Mentoring Event (mentor)
______ $195 ______ ______ $225 ______ ______ $99 ______ ______
$40
______
______ $65 ______ ______ $40 ______ ______ No Fee ______ ______ No Fee ______
Monday, October 17
7. Grains for Health Foundation Breakfast Meeting, 7:00 – 8:00 a.m. ______ $30 ______ 8. Biotechnology Division Meeting and Lunch, Total Registration Fees $ _______ 12:30 – 2:00 p.m. _____ $35 ______ Guest*** —See box below 9. Engineering & Processing Meeting and Lunch, 12:30 – 2:00 p.m. ______ $20/$10 ______ 10. Milling & Baking Division Meeting and Lunch, 12:30 – 2:00 p.m. ______ $35/$10 ______ * Excludes current members and those whose membership 11. Nutrition Division Meeting and Lunch, lapsed within the past 12 months. 12:30 – 2:00 p.m. ______ $35/$10 ______ Students registering with the Meeting Plus Membership option 12. Rice Division Lunch, 12:30 – 2:00 p.m. ______ $35 ______ 13. Cereals&Europe Dinner, 7:00 –10:00 p.m. ______ $60 ______ must have a faculty member sign here to qualify. 14. Student Division Social & Dinner, ____________________________________________________ 7:00 – 10:00 p.m. ______ $35 ______ Faculty Member Signature Tuesday, October 18 ** Each table-top exhibit includes one (1) free exhibitor registration. Additional exhibitor registrations may be purchased. 15. Education Division Breakfast Meeting, *** Guest Program—Guests will not pay registration. Guests 7:00 – 8:30 a.m. ______ $12/$5 ______ 16. Young Professionals Event, 4:30 – 5:30 p.m. ______ No Fee ______ wishing to attend receptions and luncheons must purchase 17. Iowa State University & Friends Reception, tickets in advance. Name badge and ticket are required to attend 4:30 – 6:00 p.m. _____ $18/$10 ______ ticketed functions. Guests do not have access to the sessions. 18. Protein Division Social, 5:30 – 6:30 p.m. _____ $25/$15 ______ Coworkers and business associates are not considered guests 19. Carbohydrate Division Dinner, 6:00 – 9:00 p.m. _____ $55/$25 ______ and must pay registration fees.
Wednesday, October 19
† Guests must purchase a ticket to attend this event.
Payment Information o Check or money order enclosed, payable to AACC International (U.S. funds only drawn on U.S. bank)
(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.)
o Charge: o VISA
o MasterCard
o American Express
Card No. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Expiration Date: ____ ____ / ____ ____
20. Kansas State Breakfast, 7:00 – 8:00 a.m. 21. NDSU Alumni Breakfast, 7:00 – 8:30 a.m. 22. Rheology Division Meeting and Lunch, 12:30 – 1:30 p.m. 23. ICC Luncheon, 12:30 – 2:00 p.m.
_____ $35/$10 ______ _____ $26/$10 ______ _____ $15 ______ _____ $40/$20 ______
Extra Tickets Only/Guests
24. Grand Opening Exhibition, Sunday, Oct. 16† 25. Farewell Reception, Wednesday, Oct. 19†
______ $25 ______ ______ $10 ______
Total Activities and Products $ ______
Grand Total (Registration and Ticket Fees) $ ______
Security Code (3 or 4 digit code on back of card) _ ____________________
Housing Reservations
Cardholder Name (please print):
Reservations may be made in one of the following ways: Internet: http://meeting.aaccnet.org Telephone: Check website or brochure for hotel reservation phone numbers. Inform operator you are attending the AACC International Annual Meeting.
________________________________________________________________ Cardholder Signature (required):
_________________________________________________________