Enrollment Form for ARC22 Short Course

Creating Synergy Between Rheological Experiments and Theory

May 10, 2022 to May 13, 2022

Registration Fee: US# 480.- ("early bird" US# 400.- before April 20th, 2022)

Please enroll me in the short course

Name ______________________________
extent of rheology involvement (occasional, daily use, novice, research component, ...)_______________________________
Company/University ___________________________
Email ______________________________

To register, please e-mail the completed enrollment form to:

Prof. H. Henning Winter
Email: winter@umass.edu
with a copy to IRISrheo@yahoo.com

Complete the registration by sending the Registration Fee
by Bank Transfer to:
Bank of America
Account number 4622234069
account holder: Horst Henning Winter
ABA Bank Routing number 011000138

or pay by US$ bank check (payable to "IH. H. Winter") mailed to
H.H. Winter, 14 Elm Street
Amherst, MA 01002
USA

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