APPLICATION / REQUEST FOR NEXT MAILING

POLYMER REACTION ENGINEERING VII

May 3-8, 2009
Niagara Falls, Ontario, Canada

This is an online form which will be e-mailed directly to Engineering Conferences International. To use it, fill in the boxes appropriately and click on the "Send request to ECI" box at the bottom.
If an entry is not applicable, enter N/A or none.
If an email address is unavailable enter none@none.

Name
Mr. Ms. Dr. Prof.
Job Title
Organization
Mailing Address
Mailing Address (2nd line, optional)
City
State/Prov
Postal Code
Country
Telephone:
Fax
E-Mail Address

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All potential participants (including members of the organizing committee and invited speakers) are required to submit the application/request for next mailing so that we can be certain we have your correct address information.