Enrollment Form for Short Course

 

Synergy Between Experiment and Theory in Rheology

 

June 3-4, 2008

in Amherst, Massachusetts, USA

 

 

Please enroll me in the short course

Name ______________________________

Title _______________________________

Company ___________________________

Address ____________________________

___________________________________

City _______________________________

State _____________ Zip ______________

Phone (_____) _______________________

Fax     (_____) _______________________

Email ______________________________

 

 

e-mail or FAX completed enrollment form to:

Prof. H. Henning Winter
FAX: USA-413-545 1647
Email: winter@ecs.umass.edu

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