The Society of Rheology 76th Annual Meeting
February 13 - 17, 2005  —  Lubbock, Texas

Exhibitor Registration Form
    
Please type appropriate information and then print form. Mail or fax the form or e-mail a PDF scanned version of the form to: The Society of Rheology 76th Annual Meeting, c/o Gregory B. McKenna, Department of Chemical Engineering, Texas Tech University, Lubbock, TX 79409-3121. Fax: 806-742-3552. E-mail: greg.mckenna@coe.ttu.edu.
Name:
Company:
Address:
City, State, Zip:
Telephone: Fax:   
E-Mail:
Web URL (if available):
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' wide space. Additional setup or equipment can be provided  on request: Tables and normal electrical services will be provided at no extra cost. For information, contact Gregory B. McKenna, (806) 742-4136 or greg.mckenna@coe.ttu.edu.
  Exhibit Booth(s) @ $1,350.00 $
  Tuesday Banquet
      Meat
      Fish
      Vegetarian		 @ $     55.00 $
TOTAL  $
    
Method of Payment:
Check or money order
 (payable to The Society of Rheology)
   
   
Registrations will be confirmed with a printed receipt by mail. For registration verification questions, contact Gregory B. McKenna, (806) 742-4136 or greg.mckenna@coe.ttu.edu. Exhibit space is located in the coffee break area; specific location preference will be given based on the order in which registrations are received. Early registration is advised. The federal tax identification number of The Society of Rheology is 13-620-3476.

Exhibit Registration Deadline: January 15, 2005