b'- MRCA Membership Application The undersigned company hereby applies for the following class of membership in MIDWEST ROOFING CONTRACTORS ASSOCIATION, INC. oACTIVE MEMBERSHIP - Any established roofing contractor inUnited States that is engaged in the application ofwaterproofing, theroofing, siding or insulation. oASSOCIATE MEMBERSHIP -Any personfirm with an interest in the business and affairs of this association,(1) manufacturers and orexcept: associa actorsthsuppliers of materials and products used by the Active Members of thistion: and (2) roofing contr eligible for active membership ine association. oSUSTAINING MEMBERSHIP-AllMembers are eligible to become Sustaining Members by making an investment in MRCA over and above MRCA their annual membership dues.otherwise specified by the member, the in will be allocated to support the activities of the MRCA Unlessvestment andesearchthe TechnicalR Committee,MRCA Applicator Agreement Review Program, and the MRCA Foundation, Inc. usi MRCA MRCA dues are 100 percent deductible as an ordinary and necessary b ness expense - no portion ofdues is alfocable to lobbying expenditures. However,IRS requires us to say that contributions or gifts to MRCA are not deductible as charitable contributions for Federal Income Tax pu oses. therpIfare applying for Associate Membership,describe your interest in the business and affairsthis youpleaseofassociation: Key Contact - =-\'~_.:____Spouse\'s=-==\'::.::-",\',-\'\',,-\', Name-Company Name Address=~-\'\'\',\',-\'-\'-\' -\',-,\'c, -\';e- -City_______:____;;__;_\'~-~-\'\'-\'~ _ _Telephone_____:__;_._______\'-,-"-\'::-_ _ax #_~~-= -;-,:,,,,,,-,,=-":\'-:===c-_:_c_,,,:-=- Date of Establishment _\'c~ - \'-==\'\'-\'\'\'~- Web site-c-=-=:.::____________ _Name ofRepresentatives: Applicant\'s 1_-:=-,= =:-,\';,\'-c=-\'"-\'-,- _ -c2____::_________ _;___.:___-=~ _ _ ~ Please indicate the markets you are involvedin: oBuilt-UpO Modified Bitumen0Single-PlyoStandingO Metal Seam oSteepOSidingoInsulationoWaterproofingoOther 0PVCO EPDM0DampprooflngLl Cold Adhesives oGutters and DownspoutsoSkylights and Roof Windows::i Interior Remodeling0Ventilating oUnionoNon-UnionAre you athe National Roofing Contractors Association?oYesoNo member of _Signature-~- -=,-,~_Title,____________________ DateSponsored By_ _____________ ____Annual Dues: Active. Associate Membership: Sustaining Membership: $1Membership: $375$42550 Method of: PaymentOCheckOMoney OrderOVISAOMastercardOAMEXoDiscover Card No _ _ _ ____ _ _______ _____Exp. Date . - Name on Card Authorized Signature __________________Return with Payment to:MIDW ROOFING CONTRACTORS ASSOCIATION,W. 15th Street, Suite 1000, Lawrence, KS EST484066049-3862 T l Free: 800/497-6722785/843-4888Fax: 785/843-7555 ol'