The Society of Rheology 72nd Annual Meeting Short Course Registration Form

The Society of Rheology Short Course
Rheology of Colloidal Dispersions
by Professors William B. Russel & Norman J. Wagner
February 10-11, 2001 — Hilton Head Island, South Carolina

Short Course Registration Form

Please print form, then neatly print appropriate information, and mail or fax to: Society of Rheology - Annual Meeting, Department of Chemical Engineering, Virginia Tech, Blacksburg, VA 24061. Fax: (540) 231-2732.

Registration Fee: Short course registration includes a complete set of course notes. Cancellations received in writing by January 15, 2001 will be subject to a $25 administrative charge. No refunds will be granted after that date.

* Non-Member registration includes an optional 1-year membership in The Society of Rheology. Non-members attending the annual meeting may register for the short course as members. Members receive the Rheology Bulletin, the Journal of Rheology (6 issues) and Physics Today (12 issues).
⁺ Although every effort will be made to provide course materials for all participants at the start of the course, those registering late may not receive course materials on time.

Early registrations will be confirmed with a printed receipt by mail. Late registrations will receive a printed receipt at the start of the course. Reservations for lodging should be made by the participant. Attendees will pay their own room, tax, and incidentals incurred by them at hotels. The federal tax identification number of The Society of Rheology is 13-620-3476. The course will begin at 8:30 am, Saturday, February 10, 2001.

Name:		Badge Name:
Affiliation:		Address:
City, State:		Zip, Country:
Telephone:	Fax:	E-mail:

	Fee (before 1/15/01)	Fee (after 1/15/01)
Member	$450	$550⁺
Non-Member (includes membership)	$505*	$605*⁺
Student Member	$225	$275⁺
Student Non-Member (includes membership)	$250*	$300*⁺

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