ACS Division of Polymer Chemistry, Inc.
Thank you to
our sponsors
Registration
Please fill out the registration form below. This information will be used for your name badge and attendee list.
After you have completed the registration form please proceed to the payment section below.
This registration package will include:
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Access to more than 40 lecturers who are experts in their field
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Participation at the poster/exhibit session
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More than 6 networking breaks and socials scheduled throughout the workshop to connect with speakers and participants
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Continuous access to wifi in the guestrooms and meeting space
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Online access to meeting materials before, during, and after the event
PART I: REGISTRATION INFORMATION
If you require an invoice for payment please feel free to communicate directly with the Division of Polymer Chemistry Business Office, send your correspondence with remittance to Kathy Mitchem, Division of Polymer Chemistry, Inc., Virginia Tech, ICTAS II – Virginia Tech, 1075 Life Science Circle, MC 0917, Blacksburg, VA 24061. Phone: 540-231- 3029, Email: kathyl@vt.edu.
Simply copy the below information and place it in the body of an email to Carlee:
Prof. Dr. Mr. Ms. Mrs. Miss
Name:
Organization:
Mailing Address:
City: State: Zip:
Country:
Phone: Fax:
E-mail:
__ $ 925 Member Registration
__ $ 1,075 Non-Member Registration
__ $ 500 Member Student Registration
__ $ 650 Non-Member Student Registration
Total Amount Due: $
Payment by:
__ Check/Transfer __ Credit Card
__VISA __MASTER CARD __AMEX
Exp. Date:
Account #:
Signature/CVS: