In the name of the company which I represent, I hereby accept the contractual terms and conditions as an exhibitor at the 14th Surfactants In Solution Symposium.

         of                       , 2001
Signature and company stamp

Amount due:                            €
Means of payment:

Bank transfer to be paid into account nº: 2100-3642-16-2200061191 in the Caixa d'Estalvis i Pensions de Barcelona ("la Caixa")

Cheque nº                                               of Bank/Savings bank
Made payable to :
Universitat de Barcelona. 14th Surfactants In Solution Symposium.

Received
Signature and University stamp