registration
REGISTRATION

Register now online

Register online or if you would prefer to communicate directly with the Division of Polymer Chemistry Business Office, send your correspondence with remittance to Lesia Linkous Pristas, Division of Polymer Chemistry, Inc., Virginia Tech, ICTAS II – Virginia Tech, 1075 Life Science Circle, MC 0917 , Blacksburg, VA  24061.  Phone:  540-231-3029, Fax:  540-231-2588, E-mail:  lesiar@vt.edu. Simply copy the below information and place it in the body of an email to Lesia:

Prof.   Dr.   Mr.   Ms.   Mrs.   Miss

Name:
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City: State: Zip:
Country:
Phone: Fax:
E-mail:

__ $ 795 Member Registration
__ $ 845 Non-Member Registration
__ $ 400 Member Student Registration
__ $ 450 Non-Member Student Registration

__ $50 Late Fee (after July 27, 2018)

Total Amount Due: $

Payment by:

__ Check/Transfer __ Credit Card
__VISA __MASTER CARD __AMEX

Exp. Date:
Account #:
Signature/CVS:

Cancellations (if already charged) and registrations after the deadline will be charged a $50.00 late fee.

Registration Deadline July 27, 2018!