Society of Rheology
70th Annual Meeting (October 1998)


Annual Meeting Registration Form

Please print form, then neatly print appropriate information, and fax or mail to: Donnasue Jacobi, 228 Haight Street, Menlo Park, CA, USA 94025.

FAX 650-322-9708 (M-F, 8am-6pm PST) or 650-725-7294

 Name:  Badge Name:
Affiliation: Address:
 City, State:  Zip, Country:
Telephone:  Fax:
Email:  Are you presenting a poster: yes no

Registration Fee: Conference registration includes program as well as access to the vendor display, all technical sessions, coffee breaks and receptions. The registration fee does not include the Banquet, which is subject to limited seating. Please indicate the number of tickets you are purchasing for this event. Cancellations received in writing by September 13, 1998, will be subject to a $25 administrative charge. No refunds will be granted after that date.

 

 Fee (before 9/13/98)

Fee (after 9/13/98)
Member

$100

 $125
Non-Member (includes membership)

$160*

$175*
Non-Member

$160

$175
Student (includes membership)

$55*

$55*
Student

$30

$30
Retired Member

$30

$30
Banquet Ticket

$40

$40

*Non-Member registration includes an optional 1-year membership in the Society of Rheology. Students can become members for an additional $25. Members receive the Rheology Bulletin, the Journal of Rheology (6 issues) and Physics Today (12 issues).

 Method of Payment: check or money order (payable to The Society of Rheology) Mastercard Visa

Account #:
Expiration Date: Cardholder Name:
Signature (required for credit card transaction):

Early registrations will be confirmed with a printed receipt by mail. Late registrations will receive a printed receipt in your conference packet. Forms with credit card information may be faxed to 650-322-9708 (M-F, 8am-6pm PST) or 650-725-7294. Attendees will pay their own room, tax and incidentals incurred by them at Hotel.

Special Requests

 Any accommodation requirements:

 Dietary requests: