The Society of Rheology 71st Annual Meeting
October 17 - 21, 1999  —  Madison, Wisconsin

Exhibitor Registration Form
    
Please print out form, neatly print appropriate information, and fax or mail to: Rheology 71st Annual Meeting, Attn: Pat Gaitan, The Pyle Center, 702 Langdon Street, Madison, WI 53706-1487. Fax: (608) 265-3163
Name:
Company:
Address:
City, State:
Telephone: Fax:   
E-Mail:
Exhibitor Registration Fee:

Exhibitor Registration includes one full conference registration and entitles Exhibit Representative access to all sessions, receptions, refreshment breaks, and conference materials. Tickets for the Banquet must be purchased separately.

Each exhibitor will be provided with a 10' × 10' space for display, and one linen-covered, skirted Exhibit Table. Additonal setup or equipment can be provided at extra cost. Contact Maureen Sundell for information: (608) 262-5514 or e-mail: sundell@ecc.uwex.edu.
  Exhibit Booth(s) @ $1,200.00
  Tuesday Banquet @ $     35.00
TOTAL 
    
We will be bringing a seft-contained display and do not require an exhibit table.
Method of Payment: Check or money order
         (payable to UW-Extension)		 Mastercard Visa
Cardholder Name:
Account #: Expiration Date:
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 (608) 265-3163. Exhibit space is LIMITED. Early registration is advised. The federal tax identification number of The Society of Rheology is 13-620-3476.

Exhibit Registration Deadline: October 10, 1999