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Division of Polymer Chemistry
American Chemical Society

Date_____________________

Your Name____________________________________________

Your Address__________________________________________

Phone____________________________FAX________________________

Email______________________________________________________

As a member of the Polymer Program Committee, it is part of your responsibility to suggest future Polymer Division symposia topics for ACS national meetings. It is not necessarily your responsibility to organize symposia, but to suggest symposia chairs and contact them to solicit their commitment to organize a symposium if your proposal if accepted.

Thank you for proposing a symposium topic!

Proposed Symposium Title__________________________________________________

Suggested Organizer, Names & Addresses
________________________________________________________
________________________________________________________
________________________________________________________

Brief Description of Symposium Topic and Importance
________________________________________________________
________________________________________________________
________________________________________________________
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Proposed National Meeting Date ______________________________________________

Proposed Number of Sessions _______________________________________________

Proposed Co-sponsors _____________________________________________________

Please return this completed form to the Program Chairs at anytime, but 1-2 weeks prior to the national meeting is especially encouraged.

Kathryn E. Uhrich
Rutgers University
610 Taylor Road
Dept. of Chemistry & Chemical Biology
Piscataway, NJ, 08854
USA

Phone: 732-445-0361
EMAIL: keuhrich@rutgers.edu
Dr Christine Landry-Coltrain
Eastman Kodak Company
Kodak Research Labs
Building 82, floor 6, KP
Rochester, NY, 14650-2109
USA

Phone: 585-722-3683
EMAIL: christine.landry-coltrain@kodak.com
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