October
19 - 22, 2008Charleston Doubletree Suites
Charleston, South Carolina USA
REGISTRATION
To register send the completed registration form with remittance to Lesia Linkous, Division of Polymer Chemistry, Inc., Virginia Tech, 410 Davidson Hall, M.C. 0279, Blacksburg, VA 24061. Phone: 540-231-3052, Fax: 540-231-2588, E-mail: lesiar@vt.edu.
Click here for online registration.
Prof. Dr. Mr. Ms. Mrs. Miss
Name
Organization
Mailing Address
City State Zip
Country
Phone Fax
__ $700 Member Registration
__ $750 Non-Member Registration
__ $175 Member Student Registration
__ $225 Non-Member Student Registration
__ $200 Accompanying Guest
Name:
__ $50 Late Fee (after September 19, 2008)
Total Amount Due: $
Payment by: __ Check __ Credit Card
__VISA __MASTER CARD __AMEX
Exp. Date
Account #
Signature
