b'MIDWEST INSULATION CONTRACTORS ASSOCIATION 67 thANNUAL CONVENTION APPAREL ORDER FORM Order by May 15, 2024 As part of the 67 thAnnual MICA Convention, we are promoting MICA embroidered logo-wear. Each MICA Member (not including spouses) will receive a complimentary shirt when registration is completed by May 15, 2024. Simply select your shirt size when registering for the convention. If you miss the deadline or would like to purchase additional logoed items, please use this form. Sport Shirts The Cutter & Buck Prospect Textured Stretch sport shirt is 92% polyester and 8% spandex engineered for exceptional versatility with DryTec to achieve incredible comfort and moisture wicking for a cooling effect.This comfortable sport shirt features a three-button placket and a CB pennant embroidery at left sleeve hem.This years shirt color is Navy Blue for both the men and ladies, with the MICA logo embroidered on the left chest and Rapid City, SD on the left sleeve. Full-Zip JacketThe Port Authority Zephyr Full-Zip Jacket merges wind- and water-resisting performance with a silky-smooth hand. This black unlined piece is easy to wear over base or thermal layers. The 100% polyester shell features an interior wind flap with chin guard, elastic binding at the cuffs and hem, and open front pockets. The MICA logo and the words Established in 1956 will be embroidered on the left chest. Half-Zip PulloverThe Port Authority Zephyr Half-Zip Pullover merges wind- and water-resisting performance with a silky-smooth hand. This black unlined piece is easy to wear over base or thermal layers. The 100% polyester shell, zip-through cadet collar, elastic binding at cus and left side seam zipper are there for easy on/o. The open hem features an adjustable locking drawcord. The MICA logo and the words Established in 1956 will be embroidered on the left chest. _____________________________________________________________________________________________ NAME COMPANY _____________________________________________________________________________________________ ADDRESSCITY STATE ZIP Mens Sport Shirt Order (Please indicate Number Purchased) Price Per Shirt Total _____Small_____Medium_____Large_____X-Large@$47.00__________ _____XX-Large _____3X-Large _____4X-Large Ladies Sport Shirt Order (Please indicate Number Purchased) Price Per Shirt _____Small_____Medium_____Large_____X-Large@$47.00__________ _____XX-Large _____3X-Large Full-Zip Jacket Order (Please indicate Number Purchased) Price Per Jacket _____Small_____Medium_____Large_____X-Large@$35.00__________ _____XX-Large _____3X-Large _____4X-Large@$40.00__________ Half-Zip Pullover Order (Please indicate Number Purchased) Price Per Pullover_____Small_____Medium_____Large_____X-Large@$31.00_______________XX-Large_____3X-Large_____4X-Large@$37.00__________ ____________________________________________________________________________________________________________ Total Payment Due$_________Check to MICA VISAMasterCard American Exp. DiscoverCard # ______________________________ Exp. Date _________ Billing Zip Code _________ CSV _____Name on Card _______________________________27'