b'COMPLIMENTRAY CONVENTION SHIRT: Each MICA Member (not including spouses) will receive a complimentary shirt if registration is completed by May 19, 2024.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: _____MICA Convention Welcome Reception (Monday, June 17 th )$125.00 Golf Tournament Sponsorships: _____Hole Sponsor$150.00 _____Longest Drive$200.00 _____Closest to Pin$200.00 _____Longest Putt$200.00 _____Golf Prizes$250.00 _____Beverage Cart$300.00 _____Golf Lunch$350.00 _____Grab Bag SponsorGolfers 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 MICAMasterCardVISAAmerican ExpressDiscoverName of Cardholder:_______________________________________ Credit Card Number:_________________________________________Exp. Date: ____________ CSV: _____________Billing Zip Code: ______________ CANCELLATION POLICY: All cencellations must be received in writing. 100% Refund on Cancellations Received Prior to May 19 th ; 75% Refund on Cancellations Received Prior to June 1, 2024; No Refund on Cancellations Received After June 1, 2024.Please Register Securely Online or return your completed Registration Form with payment by May 19, 2024, to: Midwest Insulation Contractors Association 7250 Poe Ave.Ste. 410Dayton, OH 45414E-Mail to mica@micainsulation.orgFax to 937-278-0317QUESTIONS: Contact the MICA Office at: 888-294-0084 or mica@micainsulation.org 25'