RIA R15 Standards Sub-committee Application

The Robotic Industries Association sponsors development of ANSI and ISO standards applicable to the robotic industry. Drafting committees are formed for various topics of interest. Participation is open to “anyone with a direct and material interest” in the work being done. Participation is divided into Voting and Associate memberships. Voting members representing companies must have the express backing of their employer to ensure availability to travel and attend scheduled meetings.

We have a direct and material interest in the RIA Standards Development work and hereby apply to participate in the sub-committee work.

Please complete the information below. Fields marked with a * are required.

COMPANY INFORMATION
* Company Name
* Address
* City
* State/Province
* Zip/Postal Code
CONTACT INFORMATION
* Contact Name
* Business Title
* Phone
Fax
* Email
MEMBERSHIP INFORMATION
* We have a direct and material interest in the development of voluntary industry standards in the robotics industry, and hereby apply to participate in ANSI Standards Development bodies committee(s) indicated at right: (Check all that apply)	R15 SAC (Standards Approval Committee) - The ANSI-accredited consensus body that votes on decisions relating to ANSI standards in robotics R15.06 (Industrial Robot Safey) - The drafting body charged by the SAC with developing standards and related documents for the robotics industry. Focus: Industrial Robot Safety R15.08 (Mobile Robot Safey) - The drafting body charged by the SAC with developing standards and related documents for the robotics industry. Focus: Mobile Robot Safety U.S. TAG to ISO TC 299 (Technical Advisory Group) - The ANSI-accredited consensus body charged with developing U.S. positions on matters under consideration by the ISO Technical Committee 299, Robotics
* Our Subject(s) of interest are (select all that apply):	Interfaces Communication Performance Safety Simulation/Off Line Programming Mobile Robot Systems
Our Interest Category is (select only one):	Producer Supplier User Researcher General Interest
Corporate or Individual Membership (select only one):	Corporate Membership (officially representing a company or organization) Individual Membership (representing one's own personal views)
* Membership Type (select only one):	Voting Membership Associate Membership
*Statement of Interest and Qualifications	words left
Designated Representative?	YES, Contact Person named above is the Designated Representative for purposes of voting and meeting attendance. (If not, please complete section below.)
DESIGNATED REPRESENTATIVE
Complete this section if Designated Representative is different from Contact Name listed above.
Name
Business Title
Email
Phone
Fax
Address (if different than main company address)
City
State/Province
Zip/Postal Code
DESIGNATED ALTERNATE
Complete this section if you wish to identify a Designated Alternate for purposes of voting and meeting attendance, in addition to the person named above as Designated Representative. Otherwise, please select the No Designated Alternate checkbox if you do not wish to designate an Alternate at this time.
No Designated Alternate	We do not wish to delegate an Alternate at this time.
Name
Business Title
Email
Phone
Fax
Address (if different than main company address)
City
State/Province
Zip/Postal Code
AUTHORIZED SIGNATURES Please download a PDF version of this form and provide signatures where required. Use the field below to upload the signed form; then click on Submit.
* Signed form
*I agree that by submitting this form I may receive communications from Robotic Industries Association regarding this and other association activities.	Yes