b'WOMEN IN ROOFINGMIDWEST ROOFINGCONTRACTORS ASSOCIATION 70 thAnnual Conference & ExpoNovember 20-22, 2019Overland Park, KSCOMPANY INFORMATION:EXHIBIT FEES: This Representative will be contacted for all program details, finalizing ofMember RateNon-Member Rate booth personnel and for decorator/electrical needs. Please print or type.10x10 Booth$1,850 each$2,350 each Company Name (Exactly as you wish it to appear in Printed Materials and4 or more booths$1,600 each$2,100 each on Exhibit Sign)______________________________________________ Address: ___________________________________________________Number of Booths______________ x rate per booth ________________ City, State, Zip: ______________________________________________= Total $ _________________% Being Paid Today: _______________ Country: ____________________________________________________Preferred Booth Numbers: O: __________________________C: ____________________________1st Choice: ____________ 2nd Choice: ____________Email: ______________________________________________________3rd Choice: ____________ 4th Choice:____________ Website: ____________________________________________________Please list companies that you prefer not to be near: Full Name: _____________________________________________________________________________________________________________ READ BEFORE SIGNING: Exhibitors signature on this contract indicatesBILLING INFORMATION: acceptance of the Rules and Regulations provided with this contract and isFull Name: ______________________________ Title: _______________ an agreement to pay the total amount due. The person signing this contractCompany Name: _____________________________________________ on behalf of the exhibitor has the authority to do so and is responsible for employees adherence to the Rules and Regulations.IF DIFFERENT FROM ABOVE: Signature: __________________________________________________ Company and/or Product Description (Will be included on MRCAAddress: ___________________________________________________ Website & Expo Mobile App ( Can also be emailed to rpinkus@mrca.org)City, State, Zip: ______________________________________________ ______________________________________________________________________________________________________________________ Country: ____________________________________________________ ___________________________________________________________ PH: __________________________ FX: __________________________ ______________________________________________________________________________________________________________________ Email: ______________________________________________________ ______________________________________________________________________________________________________________________ Please make checks payable to Midwest Roofing Contractors Association ___________________________________________________________ and send check along with this completed agreement to: ___________________________________________________________ Attn: Rachel Pinkus ___________________________________________________________MRCA Exhibits 2077 Embury Park Rd. PAYMENT INFORMATION:Dayton, Ohio 45414 Applications will be accepted as long as space is available. A signedYou may also send your completed agreement to:contract is considered an agreement to pay the total amount due. Torpinkus@mrca.org orFax: 937-278-0317 qualify for the Member Rate, the exhibiting firm needs to be an activemember in good standing at the time of conference. If membership duesCredit Card Payment Information: are not current, you will be billed at the higher rate. CC#: _______________________________________Exp. Date ______ Payment Schedule: 25% of the booth fee is due with the ExhibitorContractif submitted before January 31, 2019. 50% of the booth fee mustName on Card: ______________________________________________ be submitted by April 30th and 100% is due by September 15th. Booth space must be paid in full before being permitted to set-up exhibit. Billing Zip Code: _________________ Amount Being Charged: $_______ Space Cancellation: The space cancellation deadline is September 15, 2019, after which no refund will be made.QUESTIONS? Contact Rachel Pinkus at 800-497-6722 orrpinkus@mrca.orgwww.mrca.orgMidwest Roofer 23'