Enrollment Form - AOAC Hemp Microbial Contaminants Proficiency Testing Program

Enrollment Form - AOAC Hemp Microbial Contaminants Proficiency Testing Program

**Matrices are Flower** *Prices are per single shipment*
Which of the following programs will you be enrolling in (check all that apply)?

CHM01: (Hemp) Qualitative (Salmonella, Aspergillus, STEC) & Quantitative (APC/TVC, Coliforms, E. coli, EB/BTGN & Y&M) - $2,000
Please select which of the following rounds you'd like to participate in:

April 2025 (Shipping on April 21, 2025)October 2025 (Shipping on October 13, 2025)Both April & October 2025
Shipping Information

shipping fees will be determined at the time of enrollment
Person responsible for samples:

First NameLast Name
Name of lab to ship to:
Email Address:
example@example.com
Full shipping address samples are being sent to:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number of Person responsible for samples:
Please enter a valid phone number.
Billing Information
Billing Contact for samples: (If same as shipping contact, leave blank)

First NameLast Name
Company Name: (If same as shipping company, leave blank)
Email Address:
example@example.com
Full billing address for payment of samples: (If same as shipping address, leave blank)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number of billing contact: (If same as shipping contact, leave blank)
Please enter a valid phone number.
*Your enrollment date is considered to be the date AOAC recieves this completed jotform. If cancellations are made less than 30 days prior to a shipment date you are responsible for payment of samples reported to the test material provider.*
Should be Empty:

Enrollment Form - AOAC Hemp Microbial Contaminants Proficiency Testing Program

Shipping Information

Billing Information