b'MRCA Membership Application The undersigned company hereby applies for the following class of membership in MIDWEST ROOFING CONTRACTO~S ASSOCIATION, INC. oACTIVE MEMBERSHIP - Any established roofing contractor in theStates that is engaged in the application of roofing, waterproofinUnitedg, siding or insulation. oASSOCIATE MEMBERSHIP -Any person or firm with an interest in the business and affairs of this association,cept: (1) m u and ex anufact rers suppliers of materials and products u by the Active Members of this association; and (2) roofing contractors eligible for activein the sedmembership association. OSUSTAINING MEMBERSHIP -All MRCA Members are eligible to become Sustaining Members by making an investment in MRCA over and above their annual membership dues. Unless otherwise specified by the member, the investment will be allocated to support the activities of the MRCA Technical and Research Committee, the MRCA Applicator Agreement Review Program, and the MRCA Fou Inc. ndation, MRCA dues are 100 percent deductible as an ordinary and necessary business expense - no portio_olMRGA dueslsanoca~le, obbying expenditures. H nto l owever, the IRS requires us to say that contributions or gifts toare not deductible as ~haritaolecontribuUons for Peder:al Income Tax purposes. MRCA Key Contact-"\'"~-=.,.;,.-,-+cs,-.:+~~,1-Company Name cl" Addre~s~ __.,,.,.,,.,.,._,,,,,,,,~,.,.,._-\',,-\',-+.,,.-,"-\'+~-""\'"+~,,-=-,i-,.,.,__~~,_,.~~=-+-\'- -==city-\'~~-+\'-,.:,,-_;_;;\'-:;+~-~".:.,\'"""-Telephbne,,,,.,;.4,,,-;-;-f:,:a:=:.,,.,=r~ \':;-~ l:~ ~+\'! __ ,.,,._ Fax#~-=""\'-\'-,.,.,, -s,~ ~-~ -"=-\'.+-~-MaE il-,;-\'~\'\'-~- -____::,, Name of., Applictuit\'s 1._ -+~~-~-.,,.-.,.-=~=.- =~+~,;.,,-_2.__~ -,.::.:;:.::.;-+-4c:"-,~,.;-~~ _ ~.,,,+\'-\'-\'-,,.,._,-0Built-UptiBitumen. ,MlSihglB\'i\'PJy MorlifiedOMetaL OSteepQding"\' .:.o.1nsulat!oT10Other SiOPVC,O!PDMO Darnpprooffn/1, O\'Goli:fAdbe oG &p O&WindowsC:rlnterlor Remodeling0Ventnating uttersDowns outs$lo/lightsRoot \' \' oUnionoNon-UnionAreyouatt\\e National RoofingCo~tra~tors A ciation1.- oYesoNo membefJfssoSignature - _ .,__.~-~=~,_:_,F=,_,. . ~ ,, Date _ _ ____Annual Dues:.,. For current annual dues inve tment amount, call our automated Fax-on-Demand system atB00ll0B-6459. 1Method ofent: PaymOCheckOMoney OrderOVISAOMastercardOAMEX Card No.____ ______ __________Exp. Date______________ _ _Authorized Signature _____ __________ __________ __________Return with Payment to: MIDWEST ROOFING CONTRACTORS ASSOCIATION, 4840 W. 15th Street, Suite 1000, Lawrence, KS 66049-3876 Toll Free: 800/497-6722785/843-4888Fax: 785/843-7555'