COMPLIMENTRAY CONVENTION SHIRT: 
Each MICA Member (not including spouses) will receive a complimentary shirt if registration is completed by May 1, 2026.  
 No, I do not require a shirt. 
 Yes, I would like a (Mens/Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) Name:_______________________________  
Additional shirts, jackets and windshirts can be ordered on the Shirt Order Form separate from this registration form.   
  
AVAILABLE SPONSORSHIPS: 
 
Annual Conference Sponsorships: 
 
_____ 
Platinum Level 
$5000.00  
Includes: 5 Minutes to address the audience, Full Page Ad in Program  and Logo recognition on signage, in Program, on E-mail Blasts sent promoting the Convention, 
on the MICA website, on all MICA Social Media Outlets, and in the MICA Magazine. 
 
_____ 
Silver Level 
$2500.00 
Includes: Half Page Ad in Program  and Logo recognition on signage, in Program, on E-mail Blasts sent promoting the Convention, on the MICA website, on all MICA 
Social Media Outlets, and in the MICA Magazine. 
 
_____ 
Gold Level 
$1000.00 
Includes: Quarter Page Ad in Program  and Logo recognition on signage, in Program, on E-mail Blasts sent promoting the Convention, on the MICA website, on all 
MICA Social Media Outlets, and in the MICA Magazine. 
 
Golf Tournament Sponsorships: 
Includes: Logo recognition on signage, in Program, on E-mail Blasts sent promoting the Convention, on the MICA website, on all MICA Social Media Outlets, and in 
the MICA Magazine. 
_____ 
Hole Sponsor 
$150.00 
_____ 
Longest Drive 
$200.00 
_____ 
Closest to Pin 
$200.00 
_____ 
Longest Putt 
$200.00 
_____ 
Golf Prizes 
$250.00 
_____ 
Beverage Cart 
$350.00 
_____ 
Golf Lunch 
$500.00 
_____ 
Grab Bag Sponsor – Golfers will receive “grab bags” containing items donated by the members. (ie. Pens, caps, golf balls, tees, money 
clips, water bottles, towels, etc.) If you would like to donate, you need to provide 60 of the same item. 
 
 
TOTAL PAYMENT DUE:     $__________ 
 Check to MICA 
 MasterCard  
         VISA 
        American Express             Discover 
Name of Cardholder:  _______________________________________ Credit Card Number:  _________________________________________  
Exp. Date: ____________   CSV: _____________    Billing Zip Code: ______________ 
 
 
CANCELLATION POLICY: 
All cancellations must be received in writing. 100% Refund on Cancellations Received Prior to May 16th; 75% Refund on Cancellations Received 
Prior to June 1, 2026; No Refund on Cancellations Received After June 1, 2026. 
 
 
Please Register Securely Online or return your completed Registration Form with payment by May 16, 2026, to:  
 
Midwest Insulation Contractors Association 
7250 Poe Ave.  Ste. 410  
Dayton, OH 45414  
E-Mail to mica@micainsulation.org   
Fax to 937-278-0317 
 
QUESTIONS: Contact the MICA Office at: 888-294-0084 or mica@micainsulation.org  
 
 
 
 
 
 MICA MESSENGER
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mica conference

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