4th Annual European Rheology Conference
April 12-14, 2007, Napoli, Italy

REGISTRATION FORM

Registrant's Identity

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Last (Family) Name:

First Name:

Title:

Prof. Dr. Mr. Ms.

Address:

Country:

e-mail:

Phone:

Fax:

Observations
or special requirements (special meals, etc ...):

Badge Informations (give name and affiliation as you wish them to appear on badge).

Name :

Affiliation :

Registration Fee The registration fee includes the book of abstacts, attendance to all technical sessions, lunches and coffee breaks. The cost of the banquet is euro 65,00. Registration is confirmed upon receipt of payment. Cancellation policy: Cancellations received by 1 April 2007 will be subject to a 30 euro administrative charge. No refunds will be granted after that date.
		Prior to February 23, 2007	After February 23, 2007 (Finish since 1252 days)
Delegate		270 euro	370 euro
Student*		150 euro	200 euro
GFR student member** (Groupe Français de Rhéologie)		150 euro	200 euro
DRG student member***(Deutsche Rheologische Gesellschaft)		150 euro	200 euro
Delegate banquet:	65,00euro
Accompanying Person (Banquet):	(65,00euro each)
* Student registration must be accompanied by letter from the Department/Institute Head confirming full-time student status The registration fees for GFR student members will be paid by the French Group of Rheology. * The registration fees for DRG student members will be paid by the German Society of Rheology