b".0, MRC~ M Application embership The underSi@ company hereby appliesthellowing class of membership inDWEST ROOFING CON ACTORS A CIATION, INC. nedforfo MI TR SSO0,ACTIVE MEMBERSHIP - Any establish roofingtractor in the United States that is en in the app cationroofing, waterprooedcon gagedli offing, sidinginsulation. or OASSOCIATE MEMBERSHIP - Anyrsonfirm withinterest in the business andirs ofisiation, except: (1) ma factu rs pe oranaffa th assoc nu re and suppliersmaterials and productsby the Active Memb of thisiation; and (2) roofing contractors eligibleive me ership in the ofusedersassoc for act mbassociation. 0SUSTAINING MEMBERSHIP - All MR m rs a e giblebecome Sustain Members by makingin t in MRCA ov aboCA Me be reli toinganvestmen er andve nnualdues. Un in estmen wil of their a membershipless otherwise specified by the member, thev tl be allocated to support the activitiesthe MRCA if hnicalResearch,MR Applicator A eement Review Program a thetion, Inc. ec andCommittee theCAgr ndMRCA FoundaMRCA d a 100 percentiblean ordinarynece bu expense-no portionMRCA dues isle to lo exp itures. uesrededuct asandssarysinessofallocab bbyingend However,IRS requires us to say that contrib or gifts tonotlecharitableions for Federal Income T purpo . theutionsMRCA aredeductib ascontribui axseship,desc bus ff tIf you are applying for Associate Members pleaseribe your interest in theiness and a airs of his association: Key Contact _______ __________Spouse's ~Name Comp Name any Address _ _ -City______________ ______State_______ _ ___Zip - - ~ Telephone800 II ofstablishment Fax#DateE _ _______________ E-mailWeb site Name ofRepresentatives: Applicant's 1 _ ____________________Spou - -:,- .se 2.Spou -= - sePlease indicate the markets you are involved in: O Built-UpO Modified Bitu 0Single- PlyOStanding SeamoMetal men oSteepoSidingO InsulationO Wa goOther terproofin0PVCO EPDMODamp oColdives proofingAdhesoGutters a D p tsoSkylights andW dowsoInte or R lingoV ting ndowns ou Roofin ri emode entilaoUnionoN -Union Are you ab of the National R ing Contractors Association?oYesoNo on mem eroofSignature _________________Title __________ _ _ ________ _ __DateSponsored By__________________ _Annual Dues: Active Membership: $425Associate Mem ip: $425Sustain Membe ip: bersh ingrsh $150 i of: \\'lcthodPaymentOCheckM OVISAOMastercardAMEXODisOoney OrderOcover C No.____________________Exp. Date _________________ ard_on C d. _ _ _ ___________Auth d Signature___________________ Namear orizeMID ESTONTRACTORS ASSO IATION 4840et SuiteLa ce,6049Return with Payment to:W ROOFING C C ,W. 15th Stre ,1000,wren KS 6 -3862 Toll Free: 800/497-6722785/843-4888Fax: 785/843-7555"