Application for Membership in
THE HELLENIC SOCIETY OF RHEOLOGY

I wish to apply for membership in THE HELLENIC SOCIETY OF RHEOLOGY dating from January _____ (year)

Family Name: Given Name:
Company/Institution:
Business Address:
Mailing Address (if different):
Telephone Number: Fax Number:
E-Mail Address:
Please indicate in the boxes provided below the code letter
from the list at the right, which best describes your areas of
interest in order of decreasing importance.
[ ]PRIMARY
[ ]SECONDARY
[ ]TERTIARY
INTEREST AREA CODE
Biorheology A
Experimental Methods B
Foods C
Inks, Paints, Coatings D
Materials Science E
Petroleum Production F
Plastics Processing G
Polymer Dilute Solutions H
Polymer Melts and Conc. Solns. I
Theoretical and Applied Mechanics J
Rubbers and Elastomers K
Solid Polymers L
Suspensions M
Theory of Viscoelasticity N
Electrorheology P
Composite Materials Q
Other_________________________ O
Professional Affiliation
[ ]Academic [ ]National Laboratory
[ ]Industrial [ ]Other


________________________________________
(Signature) 		________________________________________
(Date)

Enclose remittance in EURO or U.S. dollars and mail to: THE HELLENIC SOCIETY OF RHEOLOGY, c/o Dr. Alexandros Gotsis, Technical University of Crete, Dept. of Sciences, Kounoupidiana, 73100 Chania, GREECE, Tel. +30 2821037259, Fax. +30 2821037843.

[ ]15 EURO or $20 US for Regular Annual Dues
[ ]60 EURO or $80 US for Corporate Members and Institutions