2016 AIMCAL SUSTAINABILITY COMPETITION
OFFICIAL ENTRY FORM
Please type text or checkmarks (X) in the tables provided.
Contact Name
Enter text here
Title
Technical Contact
Title
Telephone
Company Name
Parent Company
Division/Subsidiary
Address
City
State
Zip Code
Country
Telephone
Fax
Email
Note: Listed contact(s) may be contacted by our judges for additional questions.
Affirmation and Indemnification
The above-named company(ies) certifies that this entry conforms to the competition rules and
guidelines and that all information presented is a fair and accurate representation of the
technology. By submitting this entry, the above-named company(ies) and their respective
representative(s) grants AIMCAL the right to publicize this entry by any and all means, including
but not limited to publicity at AIMCAL’s Management Meeting, in its newsletter, in its trade
show booth and through other trade publications. The Company entering this competition agrees
to indemnify and hold AIMCAL harmless from any and all claims, including but not limited to
copyright or trademark infringement, that may arise from submission of this entry and
AIMCAL’s reproduction, exhibition or other publication of this entry. [AIMCAL assumes no
liability for the failure of companies and their representatives to obtain the written consent of the
end-user prior to submission of the entry]
Signature (Unsigned forms will not be eligible)
Date
ENTRY INFORMATION
Please answer each item completely. Attach additional information when necessary.
1. What is the entry name?
2. What is the entry?
(e.g., equipment, substrate, process, coating, service....)
3. In which area of sustainability does the product
contribute?
Environmental impact
Energy usage
Recycling
Waste reduction
Other: Specify area and explain in Section 8A below
4.
What is the brand name and model number?
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5. Does your company hold any patents on this product/process?
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6. Are any patents pending?
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7. When and where was this product/process first marketed or available for order?
Date
Country
8. Describe the primary function:
a. What does it do? How does it do it? What theories, if any, are involved?
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b. How does it contribute to sustainability?
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9. Application
a. Describe the principle application(s).
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b. List other applications now used.
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c. List possible future applications and why they are currently not feasible.
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10. Do significant improvements exist over other current products/processes
(your own or competitive)?
Yes [ ] No [ ]
If yes, identify existing products/processes by major manufacturer, brand, model, etc.
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11. List specific ways your product/process improves sustainability of either current competitive
and/or your own existing products/processes.
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12. With the judges’ criteria in mind, state briefly (approximately 100 words) why you feel that
your product/process should be awarded for sustainability.
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Submission of product literature,
examples and/or photographs of the technology
(product or equipment) is required.
Please send a minimum of 8 of each item.
Return with $50 to:
AIMCAL Technology of the Year Competition
201 Springs Street
Fort Mill, SC 29715
All entries MUST be received by December 18, 2015.