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SPONSOSHIP LEVEL: ---------------------------------------AMOUNT DUE: $------------------------

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... Division of Polymer Chemistry, Inc., Virginia Tech, 410 Davidson Hall, M.C. 0279, Blacksburg, VA 24061, Phone: 540-231-3029, Fax: 540-231-2588, e-mail: ... – PowerPoint PPT presentation

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Title: SPONSOSHIP LEVEL: ---------------------------------------AMOUNT DUE: $------------------------


1
GENERAL CONFERENCE SPONSORSHIP Sponsor
Registration Form Print, complete and fax to
540 231 2588
  • SPONSOSHIP LEVEL --------------------------------
    ------- AMOUNT DUE ------------------------
  • --------------------------------------------------
    -------------------------------------------------
    -----------------------
  • Name of Individual attending the IUMACRO07
    conference Title
  • --------------------------------------------------
    -------------------------------------------------
    -----------------------
  • NAME OF YOUR ORGANIZATION E-mail address
  • --------------------------------------------------
    --------------------------------------------------
    ----------------------
  • STREET ADDRESS
  • --------------------------------------------------
    -------------------------------------------------
    -----------------------
  • CITY STATE ZIP PHONE NUMBER

To sponsor this conference send the completed
sponsor registration form with remittance to Neta
L. Byerly , Division of Polymer Chemistry, Inc.,
Virginia Tech, 410 Davidson Hall, M.C. 0279,
Blacksburg, VA 24061, Phone 540-231-3029, Fax
540-231-2588, e-mail nbyerly_at_vt.edu
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