AOAC OMA Consulting Service Application

AOAC Official Methods^SM Program

Consulting Services Application

Section 1 – ORGANIZATION/ APPLICANT INFORMATION
PART 1A: APPLICANT CONTACT INFORMATION

Please note that this application must be completed and submitted by the contact that is authorized by the organization to pursue and obtain validations and/or development of protocols. All correspondence in relation to this application will be directed to the contact listed in this section.
Applicant First & Last Name
Applicant Affiliation
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Applicant Email *
example@example.com
Applicant Phone Number *

Area Code Phone Number
PART 1B - FINANCIAL CONTACT INFORMATION

Please provide the contact information for the person within your organization that will be responsible for recieving and processing the payments for invoicing.
Financial Contact First and Last Name
Financial Organization/Affiliation
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Financial Contact Email
Financial Contact Phone Number *

Section 4 - APPLICATION FEES & PAYMENT

SECTION 4B - INVOICING AND PAYMENT

All applications may take a minimum of 2-3 business days to process once submitted.

An invoice will be generated and submitted to the Financial Contact (s) within 2-3 business days.

Application fees must be remitted (Check, Credit Card, Wire Transfer) before services are rendered. Please note that it may take 7-10 business days for monetary processing (i.e., checks and wire transactions).

If you have any questions regarding the status of your payment, please contact our Customer Service department at customerservice@aoac.org.

Once remittance is received, staff will set up a teleconference to discuss your method in detail, the Expert Review Panel (ERP) process and answer questions pertaining to the review of your submitted method.
Organization: *

Section 5 - FORM SUBMISSION

APPLICATION FEES:

Application fees apply. Organizations will be invoiced accordingly.

Consulting Service Application Type	Standard Rate (USD)	Discounted Rate (USD)*
Consulting Service	$ 3,000	$ 2,000
OMA Harmonized	$ 3,000	$ 1,000**

*Discounted rates for AOAC INTERNATIONAL Organizational Members at the Amabssador, Executive, or Affililate membership level.

**Discounted rate for AOAC INTERNATIONAL Organizational Members at the Ambassador, Executive, or Affiliate membership level, for which a Performance Tested Method (PTM) certification has been awarded for the method in this application, and the Consulting Service was used for the development of the validation protocol for the PTM study.

Thank you for completing this form.

Should you have any questions regarding your submission, please feel free to contact Saliha Argubie, Coordinator - Standards and Official Methods Program at sargubie@aoac.org or Deborah McKenzie at dmckenzie@aoac.org.
Application Status *
Invoice No. (Order No.)
Purchase Order No. (Application ID No.)
Amount Invoiced
Amount Paid
Payment Date

Month Day Year
Date
Application status update as of:

Month Day Year
Date
Should be Empty:

PART 1A: APPLICANT CONTACT INFORMATION

PART 1B - FINANCIAL CONTACT INFORMATION

SECTION 2A - SUBMISSION AND PROPOSED PROTOCOL TYPE

SECTION 2B - METHOD INFORMATION

SECTION 3C - METHOD DOCUMENTATION

SECTION 4B - INVOICING AND PAYMENT

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