Name:                          

Initials:                             Title:

Company/Organisation:

Department:                 

Postal Address:             City:

Zip/Postcode:                 Country:

Fax:                                 Telephone:

E-mail address:               

Wishes to participate in the Rolduc Polymer Meeting 2008 

I am interested in presenting a: poster or discussion paper ,

with the title:

I will send a one page abstract before, March 15, 2008.

Prefered type of accommodation:

Single luxury room with shower (€ 600)      ,

Single standard room,  shared shower facilities (€ 525) ,

room sharing with non-scientific accompanying person  (double room; € 600 + 375)  ,

with the name: