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) 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: ___________________________ 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 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, tleatham@inda.org 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 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 tleatham@inda.org NOTE: Cancellations must be in writing and received by INDA before April 25, 2014. No refunds for cancellations received after April 25, 2014. EH