Midwest Section of
AOAC INTERNATIONAL
2011 Annual Meeting & Expo
June 6 - 9, 2011
Lincoln, Nebraska
For Online Use Only.  Please use the printable version if you wish to apply via fax or traditional mail.
Sally Tieso
Nebraska Dept. of Agriculture
3703 South 14th St.
Lincoln, NE  68502
Phone:  402-471-2176
Fax:  402-471-0091
sally.tieso@nebraska.gov
2011 MWAOACI President
Tai Ha
Nebraska Dept. of Agriculture
3703 South 14th Street
Lincoln, NE  68502
Phone:  402-471-2176
Fax:  402-471-0091
tai.ha@nebraska.gov
Website/Online
Registration Questions
Amber Peterson
USDA Nat’l Vet Services Labs
Ames, IA
Phone:  515-337-7543
amber.l.peterson@aphis.usda.gov
Fields with a * must be completed
Last Name *
First Name *
Name as you want it to Appear on Your Badge
Company/Organization *
Mailing Address *
City, State, Zip/Postal Code *
E-mail Contact *
Telephone number *
PLEASE CHECK ALL THAT APPLY
Exhibitor
 Session Chair
 Session Speaker
 Poster Author
 AOAC Member
 Student
MIDWEST AOAC SECTION MEETING REGISTRATION FEES *
LATE & ON-SITE REGISTRATION (After May 15, 2011)
Full meeting registration -- $225.00
 Single Day registration -- $150.00
Single day registration (for one person) includes:
Technical sessions, Vendor Expo, morning and afternoon
break, and lunch.  Choose the day you will be attending
below.
Full meeting registration (for one person) includes:
Technical sessions, NFTA Symposium, AAFCO, AAPFCO,
and AAPCO *Workshops, Vendor Expo & Mixer, two
lunches, two morning & afternoon breaks, and Tuesday
dinner buffet.
OR
Tuesday, June 7
 Wednesday, June 8
>Students can register to attend Technical Sessions ONLY, at no charge.  Please present current student I.D. at registration desk.
*AAFCO, AAPFCO, and AAPCO Workshops have limited enrollment.  Space will be filled on a first-come, first-served basis
to State Regulatory agencies, if registered by April 15, 2011.  After April 15th, any available spaces will be filled on a first-come,
first-served basis to all attendees.  You will be notified by E-mail, of the workshop(s) you are enrolled in after receipt of your
registration.
Please check all that apply - Workshops (see program for more details):
Pesticide Formulations/Sample Collecting (Tuesday, 6/7, FULL DAY)
 Feed/Fertilizer Sample Prep (Thursday, 6/9, AM only)
Ion Selective Electrode Analysis (Thursday, 6/9, AM only - limit 12)
 Starch in Feeds (Thursday, 6/9, FULL DAY - limit 12)
Mycotoxin Analysis (Thursday, 6/9, AM only) FULL
 Fatty Acids in Feeds (Thursday, 6/9, FULL DAY - limit 10)
Mycotoxin Analysis (Thursday, 6/9, PM only) ADDED
Please check all that apply - Preferences:
Monday Golf Tournament
 I plan on attending the Tuesday Stadium Tour
Special Diet
Extra meal tickets (optional)
Extra meal tickets are available for purchase for the following events should you desire to bring a guest(s) along.  Please use this link
to go to the payment page to process payment for your extra tickets only.  You must complete the rest of this form and click Submit to
finish your registration for the meeting.
Evening Mixer - Mon. 6/6 ($18)
 Lunch - Tues. 6/7 ($18)
Dinner - Tues. 6/7 ($18)
 Lunch - Wed. 6/8 ($18)
Extra Meal Ticket Total $
PLEASE ENTER THE NAME ON THE CREDIT CARD YOU WILL USE TO PAY FOR YOUR REGISTRATION
This information will be used to match registrations with payments in the case that the name on the credit card and the name of the registrant
do not match.  Thank you for your cooperation.
If you would like to pay by check, please use the PRINTABLE REGISTRATION FORM. Instructions for
payment and submission are included on this form.
When you click on the submit button, you will be taken to a secure page to enter your payment
information.  You are not registered until you have completed the payment process.