b'October 31 - November 2, 2016 Greater Columbus Convention Center - Columbus, Ohio Please print clearly or Register Online at www.mrca.org. Use a separate form for each registrant, and duplicate form as necessary. Company Name____________________________________________________________________________________________________ Full Name ________________________________________________________First Name for Badge ______________________________ Title _______________________________Unique Email (required)_________________________________________________________ Company Address ___________________________________________________________________________________________________ City _______________________________________State _______ Zip ____________Country ___________________________________ Work Phone ____________________________________________Cell Phone________________________________________________ Spouse/Guest Name __________________________First Name for Badge _____________________ Phone ________________________ Full Conference RegistrationActivities Requiring Separate Registration FeeIncludes MRCA Welcome Reception, Foundation Auction, Keynote Address, MRCA Membership Meeting, Educational Sessions, Meals andYCC Charity Fundraiser Outing Access to Exhibit Hall.Monday, October 31st 2:00 - 4:00 pm $35 per person for advanced registration ($40 on-site) Member Company Registration Member Registration $350Spouse and Guest OutingAdditionalMember Registration* $125Wednesday, November 2nd10:00 am2:00 pm *Discount is available only if registrants are from the same company. All registrants must complete separate registration forms. The MRCA Member price is also being extended toTickets include transportation to and from restaurant, lunch, tour, taxes and Ohio Roofing Contractors Association (ORCA) Members.gratuities. Space is limited to 20 Registrants. ______ No. of Tickets at $125.00 each = $____________ Non-Member Individual Registration$450 per person Subtotal C $_______________ Join and Register Option for Contractors Become an MRCA Member today and receive 1 year of Silver Level Membership and 1 complimentaryregistration. New Member Registration $795Educational Sessions & Special Events Additional New Member Registration $125 For space and meal planning purposes, please check which sessions1-Day Conference Registrationyou plan on attending. Includes 1 day of Educational Sessions and Access to the Exhibit Hall. All registrants must be from the same member company, attend the same day,Monday, October 31st Educational Sessions and submit forms together to receive the member discount. All registrants1:00 - 5:00 pmUnion Contractors Bargaining Seminar must complete separate registration forms.5:30 - 6:00 pmNew Member / 1st Time Attendee Reception 6:00 - 9:00 pmWelcome Dinner & Foundation Auction Check the day you will attend: Monday Tuesday Wednesday 1-Day Member Company Registration $150Tuesday, November 1st Educational Sessions Additional 1-Day Member Registration $758:009:00 amWearable Safety Technology1-Day Non-Member Individual Registration $1958:008:30 amICE Dam Certification - What is it? 8:309:00 amSHARP Mobile Safety App. Demo Exhibit Hall Only Registration9:0010:00 amSurviving the Future Contractors, Consultants, Specifiers, Code Officials, 10:00 - 12:30 pmMRCA Awards, Keynote, and Lunch Engineers, Architects, Insurance Agents are FREE3:00 - 5:00 pmSteep Slope Contractor Business Mngmt. Non-Exhibiting Suppliers are $200 per person4:00 - 5:30 pmYCC Panel and ReceptionSpouse and Guest Registration5:30 - 8:00 pmNWiR ReceptionIncludes MRCA Welcome Reception, Foundation Auction, and Access toWednesday, November 2ndEducational Sessions Exhibit Hall.(See Block C for Spouse/Guest Outing Registration) 17512:302:00 pmPresidents Panel and Dessert2:153:15 pmNew Tech & Technology in RecruitmentSubtotal A $_______________2:153:15 pmHail ResistanceActivities Requiring Separate Registration Fee3:154:15 pmVentilation3:154:15 pmUAVs / Drones in Design & ConstructionForeman & Superintendent Training (Includes Meals & Access to Exhibit Hall)Wednesday, November 2nd7:30 - 11:30 am and 12:30 - 3:30 pmSpecial Requests$95 per personThis is my First MRCA Conference & Expo and I will beattending the New Member / 1st Timer Reception onCERTA Train-the-Trainer Course October 31st. (Includes Keynote, MRCA Membership Meeting, Meals & Access to Exhibit Hall) I require special assistance onsite. Please contact me. Tuesday, November 1st 7:30 - 11:30 amand 1:30 - 5:00 pmI will need vegetarian meals. Wednesday, November 2nd7:30 - 11:00 amI will need vegan meals.$350 per person for MRCA, NRCA and ORCA$495 per person for Non-MembersCERTA Applicator Course Total Payment DueA + B + C$______________(Includes Meals & Access to Exhibit Hall)Check to MRCAVisaMCAmExpDiscover Wednesday, November 2nd7:30 - 11:00 am and 12:30 - 4:00 pmCard # ______________________________________Exp. Date _______$300 per person for MRCA, NRCA and ORCA Members$445 per person for Non-MembersSubtotal C $_______________Name on Card____________________________ Billing Zip Code _______ Cancellation PolicyAll cancellations must be received in writing. A $15 processing fee applies to all cancellations. No refunds will be given after October 15, 2016.All refunds will be processed after the conference.www.mrca.orgMidwest Roofer 21'