REGISTRATION FORM2016 ANNUAL MEETING

Hilton Orlando Lake Buena Vista

EARLY REGISTRATION DEADLINE: APRIL 22, 2016

REGISTRATION FEES On or Before After After4/22 4/22 5/17

IRI Member Representatives $2,500 $2,600 $2,700& Company Associates(IRI Member Companies receive one complimentary registration, and may alsouse one or both of their two ‘floating’ registrations, with proper approval)

Complimentary Registration Invited Guest Member Comp.

Non-Member Representative $5,000 $5,100 $5,200

Emeritus Member $ 750 $ 800 $ 850

Companion $ 250 $ 300 $ 350

Add’t Master Class/Tour Fee:

TOTAL AMOUNT

Is this your first IRI Meeting?Are you staying at Hilton Lake Buena Vista?Do you plan to attend the Awards dinner?

Yes NoYes NoYes No

METHOD OF PAYMENTM/C Visa AMEX Check (payable to IRI, in USD)

CREDIT CARD # EXPIRATION

NAME ON CARD

WAYS TO REGISTER FA X ONLINE MAIL EMAILRegis t rat ion form to w w w. i r iweb.org - 2300 Clarendon B lvd., #400 reg is t ra t ion@ir iweb.org703 - 647-2581 IRI Members on ly Ar l ing ton, VA 22201

SPECIAL NEEDS

Check here if you require aides or services to fully participate. Someone from IRI will contact you.

YES, PLEASE RESERVE MY SPOT FOR THE THURSDAY, MAY 26 WORKSHOP OR TOUR(SELECT ONE):

Portfolio Management Master Class - $995 fee Pre-registration required by April 22 (Space limited)

NASA Kennedy Space Center Tour - $25 fee Pre-registration required by April 22 (Space limited)

(DR., PROF., MR., MS.)

NAME

TITLE

COMPANY

ADDRESS

ADDRESS

CITY STATE/PROVINCE ZIP CODE/COUNTRY

PHONE FAX

EMAIL

ADMINISTRATIVE ASSISTANT NAME

ADMINISTRATIVE ASSISTANT PHONE AND EMAIL

EMERGENCY CONTACT NAME AND PHONE NUMBER

FIRST NAME AS IT SHOULD APPEAR ON YOUR BADGE

SOCIAL COMPANION’S NAME AS IT SHOULD APPEAR ON THEIR BADGE

DIETARY REQUIREMENTS

Vegetarian Vegan Other

CANCELLATION/SUBSTITUTION POLICY: Registration cancellation requests will be refunded in full, less a $175 processing fee. Request must be made in writing and received 14 days prior to the meeting. No refunds will be issued for cancellations received after 14 days prior to the event. Registration may be transferred to a colleague within your organization at any time and is strongly encouraged. Non-attendance will incur the full conference fee.

By registering for this conference, you acknowledge that you have read, understand, and agree to abide by IRI’s “Participation Principles,” and “IRI’s Code of Conduct,” http://www.iriweb.org/code and agree to allow IRI to use photographs/video, which may include your likeness, in a variety of media formats, to market future IRI programs/events. http://www.iriweb.org/participation

It is the policy of the Industrial Research Institute (IRI), and it is the responsibility of every IRI member, to comply in all respects with federal and State antitrust laws. No activity or discussion at any IRI meeting or other function may be engaged in for the purpose of bringing about any understanding or agreement among members to (a) raise, lower, or stabilize prices; (b) regulate production; (c) allocate markets; (d) encourage boycotts; (e) foster unfair trade practices; (f) assist monopolization; or (g) in any way violate federal or State antitrust laws.

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CARD HOLDER’S SIGNATURE

ABOUT THE INDUSTRIAL RESEARCH INSTITUTE (IRI)The Industrial Research Institute (IRI) is an organization of 200+ industrial and service companies having a common interest in the effective management of technological innovation. IRI member companies span diverse industries and represent a substantial portion of our nation’s gross domestic product. IRI is the only cross-industry organization creating innovation leadership solutions and best practices in innovation management developed through collaborative knowledge creation. For more information, call 703-647-2580 or visit www.iriweb.org.

IRI MEMBERSHIP:

A.O. Smith Corporation

Accenture

Acorn Technologies, Inc.

Air Liquide

Air Products

Akzo Nobel Chemicals

Albemarle Corporation

Alcatel-Lucent

Alcoa, Inc.

Altria Group, Inc.

AMCOL International Corporation

Amway Corporation

Applied Materials

Archer Daniels Midland

Argonne National Laboratory

Arkema, Inc.

Armstrong World Industries, Inc.

ARUP

Ashland, Inc.

AstenJohnson

ATMI, Inc.

Avery Dennison

Avon Products, Inc.

Baker Hughes Incorporated

Ball Aerospace & Tech. Corporation

Barnes Group

BASF Corporation

Battelle

Bayer MaterialScience LLC

BD

Big Heart Pet Brands

Boeing Company

Boral Industries, Inc.

Bose Corporation

Bostik, Inc.

Boston Scientific Corporation

BP

Brady Corporation

Brookhaven National Laboratory

Bunge Limited

Cabot Corporation

Calumet Specialty Products, L.P.

Campbell Soup

Cargill, Incorporated

Center for the Advancement of Science in Space

Ceramatec, Inc.

ChemSpeed Technologies

Chemtura Corporation

Chevron Corporation

Chevron Phillips Chemical Company

Church & Dwight Company, Inc.

ClearSign Combustion Company

Coca-Cola Company

Colgate-Palmolive Company

CommScope

ConocoPhillips

Cooper Tire & Rubber Company

Corning Incorporated

Creata

Crown Equipment Corporation

Crown Holdings, Inc.

CSIRO

Cummins, Inc.

Daikin America, Inc.

Danaher Corporation

Deere & Company

Defense Laboratories Office

Delphi Automotive

Diageo

Dow Chemical Company

Dow Corning Corporation

Draper Lab

DSM N.V.

DuPont

Eastman Chemical Company

Eaton Corporation

Ecolab

Electric Power Research Institute, Inc.

Elevance Renewable Sciences

Energizer

ExxonMobil Corporation

Federal-Mogul Corporation

Fluid-o-Tech

FM Global

FPInnovations

GAF Materials Corporation

GEN3 Partners

General Cable Company

General Electric Company

General Motors Corporation

Georgia-Pacific Corporation

Goodyear Tire & Rubber Company

Greene, Tweed & Co.

Halliburton

H.J. Heinz Company

Hershey Company

Honda R&D Americas, Inc.

Honeywell International, Inc.

Hormel Foods Corporation

HP Hood LLC

Hughes Research Laboratories (HRL)

Huntsman International LLC

Hyundai/Kia

IBM

ICL NA, Inc.

Illinois Tool Works, Inc.

Ingersoll-Rand Company

International Flavors & Fragrances, Inc.

Intertek USA, Inc.

J. M. Smucker Company

Johns Manville

Kao Corporation

Kellogg Company

Kelly-Moore Paints

Kennametal Incorporated

Kimberly-Clark Corporation

Kraft Foods

Kraton Polymers

KT Corporation

L.B. Foster Company

LG Chem, Ltd.

Linde Group

Lockheed Martin Corporation

LORD Corporation

Lorillard Tobacco Corporation

Lubrizol Corporation

Mars, Inc.

Masco Corporation

Metalsa SA de CV

Michelin Americas Research Company

Michelman, Inc.

Milliken Research Corporation

Monsanto Company

NAIT

NASA Ames Research Center

NASA Dryden Flight Research Center

NASA Glenn Research Center

NASA Goddard Space Flight Center

NASA Headquarters

NASA Jet Propulsion Lab

NASA Johnson Space Center

NASA Kennedy Space Center

NASA Langley Research Center

NASA Marshall Space Flight Center

NASA Stennis Space Center

National Gypsum Company

NIST

National Science Foundation

Nestle Purina Petcare

Newell Rubbermaid

Nike

NineSigma, Inc.

Northrop Grumman Corporation

Novozymes

O-I

Omnova Solutions, Inc.

Orbital Sciences Corporation

OSRAM SYLVANIA Inc.

Owens Corning

PepsiCo, Inc.

Philip Morris International

Phillips 66

Pitney Bowes, Inc.

PolyOne Corporation

PPG Industries, Inc.

Praxair, Inc.

Procter & Gamble Company

Regal Beloit Corporation

Revlon

Rio Tinto Alcan

Roche Diagnostics Corporation

Rogers Corporation

RTI International

S.C. Johnson & Son, Inc.

Sabic Americas, Inc.

Sandia National Laboratories

SAPPI Fine Paper, Inc.

Sasol Chemicals (USA) LLC

Saudi Aramco

Schlumberger

Schneider Electric

Sealed Air Corporation

Shell Global Solutions

Sherwin-Williams Company

Sigma Alimentos Corporativo S.A. De C.V.

SKF USA Inc.

SK Innovation

Solvay Specialty Polymers

SP Tech. Research Institute of Sweden

Spectranetics Corporation

SRI International

Stepan Company

Sulzer Ltd.

Suncor Energy

Swagelok Company

TATA Consultancy Services

Teknor Apex Company

Timken Company

Toray Industries, Inc.

Tupperware Brands Corporation

U.S. Army Research Laboratory

UniServices Limited

UniSys

United Technologies Corporation

Univar

USG Corporation

Valspar Corporation

Vertellus Specialties, Inc.

VTT – Technical Centre of Finland

W.L. Gore & Associates, Inc.

Westinghouse Electric Company LLC

Xerox Corporation