REGISTRATION FORM
Monday–Thursday | June 2–5, 2014 | The Depot Renaissance Hotel | Minneapolis, Minnesota USA
To register for WOW 2014, please complete the form below. Copy this form for additional registrations, or register
online at www.inda.org. By registering early you qualify for significant savings from the regular registration fee.
Last Name/Surname
First Name
Organization
Your Title
Address
Website
City
State
Telephone
Zip
Fax
Country
Email
q Yes, I’m interested in displaying at the table-top event. Please send me information.
Please make selections in each section for us to process your registration.
Your Organization’s Primary Affiliation with the Nonwovens Industry: (check all that apply)
Primary Title or Job Function: (check only one)
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Roll Goods Producer/Supplier
Converters
End User of Nonwovens
Machinery/Equipment
Manufacturer
Supplier of Binders,
Chemicals, Adhesives, etc.
Supplier of Fibers, Pulps, etc.
Supplier of Films, Tapes, etc.
Commission Services (e.g,
Dyeing, Finishing, Printing,
Sewing, Slitting, etc.)
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Research/Consulting
Paper/Packaging
Health Services
Transportation
Wholesale/Retail Distribution
Association
Academic Institution
Government
Press/Publishing
Other:
___________________________
Owner/Principal/CEO
New Business Development
Corporate and/or Div. Mgt.
Plant Production Mgt.
Quality Control Engineering
Research Development
Purchasing
Account Manager/Sales
Consultant
Other:
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Marketing
Engineer
Financial/Accounting
Office Manager/
Administrative
Human Resources
Press/Editorial Staff
Press Other Than Editorial
Government
Academic – Faculty
Academic – Student
Registration Fees: (Please check boxes and circle fees)
INDA Member
q Full Conference
q Networking Registration (Coffee Breaks and Receptions only)
By April 25, 2014
$1,195
$495
After April 25, 2014
$1,395
$595
Non-Member
q Full Conference
q Networking Registration (Coffee Breaks and Receptions only)
$1,695
$695
$1,995
$795
q Welcome Reception, Monday, June 2 (RSVP needed)
$0
$0
q Dine with Industry Thought Leaders, Wednesday evening, June 4
$60
$60
Discount Pricing:
§ First time attendees or attendees returning after 2010 receive special discount pricing
§ Company large group discounts with five or more
Call/email Tracie Leatham
for details: 919-233-1210 ext. 126,
[email protected]
Payment: FULL PAYMENT MUST ACCOMPANY THIS REGISTRATION
q MasterCard
q VISA
q AMEX
q Check / Money Order (in U.S. funds drawn on U.S. Bank, payable to INDA)
Total Enclosed $ ___________ Card # ____________________________ Card Expires (Month): _____ (Year): _____ CVV Code: ________
Billing Zip Code: ___________ Phone or Email Address: ________________________ Signature: _________________________________
q Wire Transfer (for instructions, please contact Tracie Leatham, [email protected], or call 919-233-1210, ext. 126)
For all wire transfers, please reference WOW 2014 and attach confirmation.
q Please check here if you have a disability that requires special assistance or accommodation to fully participate.
NOTE: Please attach a written description of your needs. INDA must receive all special assistance requests by April 25, 2014 in order to accommodate.
How Did You Hear About WOW 2014?
q Email
q Print Brochure
q Referral Friend/Colleague
Pre-register online at
www.inda.org. Or, send
this form with payment or
credit card information to
the address shown here.
q Print Ad
q Other (specify)____________________________________
WOW 2014 / INDA
PO Box 1288, Cary, NC 27512-1288
Phone: 919-233-1210, ext. 126
Fax: 866-847-7922 or 919-636-7908
[email protected]
NOTE: Cancellations must
be in writing and received by
INDA before April 25, 2014.
No refunds for cancellations
received after April 25, 2014.
EH
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REGISTRATION FORM Monday–Thursday June 2–5, 2014 The Depot Renaissance Hotel