REGISTRATION FORM
FEBRUARY 9-12, 2015
|
Hilton Miami Downtown
|
Miami, Florida USA
To register for RISE®2015, please complete the form below. Copy this form for additional registrations, or register online at inda.org. By registering early,
you qualify for significant savings from the regular registration fee.
Last Name/Surname
First Name
Job Title
Organization
Address
Website
City
State
Telephone
Zip
Fax
Country
Email
INDA will publish your email address on the official event attendee list. If you do not wish to have your email address published, please check the box 
CHECK ALL that apply in EACH SECTION for us to process your registration.
Your organization’s primary affiliation with the nonwovens industry:
Primary job function (check only one):
Technical Textiles
Nonwoven Producer/Supplier
Converter/Fabricator/
End Product Manufacturer
Brand Owner/Branded Product
Machinery, Equipment
Manufacturer, Supplier
Supplier of Adhesives,
Binders & Chemicals
Supplier of Resins, Fibers & Pulps
Supplier of Paper & Packaging
Supplier of Other Materials
(Films, Tapes, Netting, Etc.)
Commission Services
Principal/CEO/President/Senior Leadership
New Business/Product Development/
Technology Scout
Director/Division Management
Manufacturing/Production/
Operations Management
Quality Control/Assurance Engineering
Research & Development
Purchasing
Account Manager/Sales Management
Consultant
Marketing/Product Management
Supplier of Services
(Transportation, Logistics,
Software, Etc.)
Wholesaler/Retail Distributor
Computer Management Systems
Supermarket, Retail Store
Testing Services
Consulting, Research
Association
Paper, Packaging Manufacturing
Health Services
Academic Institution
Government
Press/Publishing
REGISTRATION FEES*
by January 9, 2015
Engineering/Applications/Process
Financial Accounting/
Comptroller/Business Analyst
Office Manager/
Administrative Assistant
Human Resources
Information Systems
Press/Editorial
Press/Other than Editorial
Government
Academic – Faculty
Academic – Student
after January 9, 2015
 $1,095
 $1,295
 RISE Only INDA Member*
 RISE® Only Non-Member
 $1,550
 $1,850
 N3M Only
 $ 500
 $ 600
 RISE® & N3M INDA Member*
 $1,350
 $1,550
 RISE® & N3M Non-Member
 $1,850
 $2,195
 Monday Night Harbor Dinner Cruise, February 9, RSVP required. (A full conference registration includes the Harbor Dinner Cruise – RISE® Only,
RISE® & N3M, and other registrants may purchase a ticket for $175.)
 Dine with Industry Thought Leaders, Tuesday Evening (space is limited to first 36 people – check box on left. Dinner is at your own expense.)
 Speed Networking Luncheon, Tuesday, February 10, 12-2 pm, $70 for members and non-members
®
* AFMA, IFAI, and TAPPI Members are eligible for INDA Member rates.
* REGISTER 2 OR MORE AND SAVE!
Second person: $100 off registration fee | Third person: $200 off registration fee
Attendees must be from the same company and use this mail/fax registration form. First person at regular rate. For each attendee, complete and submit a copy of this
registration form. Maximum savings for 3 people is $300.
PAYMENT (full payment must accompany this registration)
 MasterCard
 VISA
 AMEX
 Check/Money Order (in U.S. funds and drawn on U.S. bank, payable to INDA)
Total Enclosed $
Card #
Card Expires
Billing Zip Code
Phone or Email
Signature
(month)
/
(year)
CVV Code
 Wire Transfer (for instructions, please contact Tracie Leatham, tleatham@inda.org, or call + 1 919 233 1210 x 126)
For all wire transfers, please reference RISE®2015 and attach confirmation.
 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 January 9, 2015 in order to accommodate.
Pre-register online at inda.org or send this form with payment or credit card information to the following address:
RISE®2015 / INDA
PO Box 1288, Cary, NC 27512-1288
Phone: + 1 919 233 1210 x126
Domestic Fax: + 1 866 847 7922
International Fax: + 1 919 636 7908
tleatham@inda.org
NOTE: Cancellations must be in writing and received
by INDA before January 9, 2015. No refunds for
cancellations received after January 9, 2015.
inda.org