b"Convention Registration Form Midwest Roofing Contractors Association 41st Annual Convention October 7-10, 1990*San Antonio, Texas CONVENTION REGISTRATION(Please Type or Print Clearly) Company________~_ Phone(___~-_Address - -City ___________________State __________Zip ______________Names of(Please Type or Print Clearly) those registering: Badgename __________________ !. __________ _ _ _____________Spouse_____________________Badgename __________________ _Badgename __________________ 2. Spouse ________________________ Badgename ___________________3. ___________________________ Badgename __________ ________ Spouse ________________________ Badgcname ___________________COMPANY STATUS(check appropriate bo,) 0Roofing Contractor -Member0Rooflllg Contractor -Nonmember0Manufacturer{Distcibutor (Non Exhibitor) 0ArchiteclfEngineer/Consul!Hut -Associate Member0Archilcct/Engineer/Consultanl -Nonmember0Press DOther -Pka.se Specify _________REGISTRATION FEES(check appropriate box) Complete Package:(includes registration fee; luncheons Monday and Tuesday; Tuesday Gilley's Theme Party; welcoming cocktail party; all convention sessions; Trade Show.Spouse's package also includes Monday & Tuesday spouse program.) Registration Fee ONLY:(includes all convention business sessions; Trade Show.) Complete PackageRegistration Fee Only Confirmations will be sent to purchaser's of the complete0Member - individual in advanceS95S25 package ONLY.0Member - individual al doors110$25 0Member - spouseS95$25 0Nonmember - individual in advances120$45 0Nonmember - individual at door$135$45 0Nonmember - spouse$120$45 0Children under 18$60FREE TOTAL REMITTANCES_______ _ (check appropriate boxJ 0Check Enclosed0MasterCard0Visa0AmericanExpress Account# _______________________Expiration Date__________ _Signature:-:-,-:-c-:::-::-=(NAME EXACTLY AS IT APPEARS ON CARD) Please make your check payable lo Midwest Roofing Contractors Association.Your cooveolion badges will be ready to pick up at the Registration Desk. REFUND POLICY:No 1efw1d, will be givrnat the convention, Pull 1cfund will bc given bcforc Octobccl, 1990.No refund, after October I, 1990."