b"~~~L'1997 MRCA CONVENTION&SHOW ATTEN REGISTRATION, RM TRAlJI.JDEE~i i11Company Name - - - - - - - - - - - -Address_ _ _ __ ~__ ______ _______________________________::City_ State.Zip _____________ _______________________ 'elephone(}_ E- _T _ _. ________ _ __FAX(.__} _ __________Mail__________ Isuraber of MRCA?0Yes0NoCancellation Polic Cancellations may be made inprior totober 1receive refund. yo companymem y:writingOc Oto A endee N e(s)Full RegistrationOne Day PassesSpecial EventsSubtotal tt am(As it will appear on b (Best Value)MemberN MemberNo erOpeningMemberN SpouseFMITadge)onmembernmemb onmemberotal Per Person MemberNonmemberSpouseThurs.ThursFri.Fri.LuncheonGERTAGERTAT Bon Program ourus $75$85$80$20$25$20$25$30$90$95$45$225 0000000000000$ @000000000000$ ~000000000000$ 0000000000000$ @000000000000$ SubtotalS Payment Information 0C EnclosedPlease Charge My OAMEXOVISAOMASTERCARDMRCA Dues$ heck ____________ _______________ Name on Card_ _ TOTAL $ Card N erExp. Daumb ___________________te Sign re._ _ _ _ atu __________ ________________(5\\.Do you require special help atshow?0YesONo the Retu this form by5, 1997 to:MRCA, 4840 W. 15th Street, Suite, Law , KS66049-3876 rnOctober1000 rence Need_ Phone: 913/843-4888 FAX: 913/8 7555______________ 43-"