Title: SPONSOSHIP LEVEL: ---------------------------------------AMOUNT DUE: $------------------------
1GENERAL CONFERENCE SPONSORSHIP Sponsor
Registration Form Print, complete and fax to
540 231 2588
- SPONSOSHIP LEVEL --------------------------------
------- AMOUNT DUE ------------------------ - --------------------------------------------------
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----------------------- - 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