- - - - - - - - - - - - - - - - - - - - - - - - - submit with your check - - - - - - - - - - - - - - - - - - - - - - - - -
Mail-In Registration Form for PTG Meeting on May 1, 2008
Name
_________________________________ Affiliation ______________________________
Address ________________________________ City
______________________ Zip ________
E-mail
___________________________________________ Phone ______________________
__ ACS Member $40; __ Non-member $50; __ Student $25. Must be in by April 17,
2008.
After
April 17, 2008: __ Member
$45; __ Non-member
$55; __ Student
$30
__ I will
submit a poster: Title
____________________________________________________
Send with
check payable to “NJACS-Polymer
Group” to
Dr. Willis B. Hammond, Treasurer, NJACS-PTG, 128 Center Ave, Chatham, NJ 07928