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The Society of Rheology Short Course
Conventional Experimental Methods Used in Polymer Melt Shear
Rheology and Molecular Architectural Interpretation

by William H. Tuminello
October 20-21, 2001  —  Bethesda, Maryland

Short Course Registration Form

Please type appropriate information, then print form, and mail or fax  to: Capital City Events, Society of Rheology 73rd Meeting, 9909 Thornwood Road, Kensington, MD 20895. Fax: (240) 363-0238.
Name:        Badge Name:
Institution: Dept/Div:      
Work Address:
City, State: Zip, Country:
Ph: Fax: E-mail:
Registration Fee: Short course registration includes a complete set of course notes. Cancellations received in writing by October 1, 2001 will be subject to a $30 administrative charge. No refunds will be granted after that date.
Check the appropriate box: Before 10/1/01 10/1/01 and later+ Registration Fee
Total Enclosed
Member $450 $550
Non-Member (incl. membership for 2002)
       decline membership (same reg. fee)
$505* $605*
Student Member $225 $275
Student Non-Member
      (includes student membership for 2002)
$250* $300*
* Non-members who are registered to attend the 73rd Annual Meeting may register for the short course at the member rates.
+ 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.
Method of Payment:
Check or money order (payable to Capital City Events)
Cardholder: Card #: Exp. Date:
Authorized 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.  For registration verification, contact Maria Covell at (301)564-6200 or 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 on Saturday, October 20, 2001.
For participation in the short course
For dietary requirements
Registrant Application for Membership in The Society of Rheology:  Please complete the rest of the form to activate the membership included in non-member registration fee. Applicant for student member should attach a copy of student ID.
Affiliation Type (check the most appropriate):          Academia          Industry          Government
The work address you entered earlier will appear in the membership directory. Publications will also be mailed to your work address. If you prefer to have publications mailed to a different address, please enter it below:
Mail Address:
City, State: Zip, Country:
Members receive the Rheology Bulletin, the Journal of Rheology (6 issues), and Physics Today (12 issues). A member subscription to the Journal of Rheology is only for your personal use. By your signature below, you agree not to loan or give any issues of this journal to a library or other lending institution without written permission from The Society of Rheology.
Signature (required):           Date: