Presented by the ACS Division of Polymer Chemistry, Inc. and the Society of Polymer Science, Japan

RegisterAugust 10 - 13, 2008
Four Points by Sheraton
Ventura Beach, California 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. 

Online registration is available by clicking here.
LATE FEE NOW IN EFFECT 

Registration Form
US-Japan POLYMAT 2008
August 10-13, 2008

__Prof.   __ Dr.     __ Mr.       __Ms.      __Mrs.     __Miss

Name _____________________________________

Organization _______________________________

Mailing Address                                                                  

City                              State                    Zip                         

Country                                                                                 

Phone                                  Fax                                            

E-mail                                                                                     
LATE FEE NOW IN EFFECT *
___ $700 Member Registration

___ $750 Non-Member Registration

___ $400 Students (Member and Non Member)

___ $200 Accompanying Guest

Name:                                                                                                                                 

*___ $50 late fee for registrations (after June 23, 2008 )

Total Amount Due:  $                                                    

Payment by:                 ___Check                       ___Credit Card

         ___VISA             ___MASTER CARD            ___AMEX  

 Exp. Date                                                                                                        

 Account #                                                                                                        

 Signature