REGISTRATION FORM

advertisement
REGISTRATION FORM
Tuesday–Thursday | May 6-8, 2014 | Hyatt Regency | Greenville, SC USA
To register for CAB 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)
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
q
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.)
q
q
q
q
q
q
q
q
q
q
Research/Consulting
Paper/Packaging
Health Services
Transportation
Wholesale/Retail Distribution
Association
Academic Institution
Government
Press/Publishing
Other:
___________________________
Registration Fees: (Please check boxes and circle fees)
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:
___________________________
q
q
q
q
q
q
q
q
q
q
Marketing
Engineer
Financial/Accounting
Office Manager/
Administrative
Human Resources
Press/Editorial Staff
Press Other Than Editorial
Government
Academic – Faculty
Academic – Student
April 18, 2014
April 18, 2014
INDA Member
q Conference
q Speed Networking Luncheon (conference registration required)
q Table-top Display
By March 28, 2014
$895
$65
$695
After March 28, 2014
$1,075
$65
$695
Non-Member
q Conference
q Speed Networking Luncheon (conference registration required)
q Table-top Display
$1,275
$65
$995
$1,525
$65
$995
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, tleatham@inda.org, or call 919-233-1210, ext. 126)
For all wire transfers, please reference CAB 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 March 28, 2014 in order to accommodate.
How Did You Hear About CAB 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)____________________________________
CAB 2014 / INDA
PO Box 1288, Cary, NC 27512-1288
Phone: 919-233-1210, ext. 126
Fax: 866-847-7922 or 919-636-7908
tleatham@inda.org
NOTE: Cancellations must
be in writing and received by
INDA before March 28, 2014.
No refunds for cancellations
received after March 28, 2014.
EH
Download