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 [phone], Fax
540-231-2588, e-mail nbyerly_at_vt.edu