b'MRCA 75th Annual Conference & Expo MRCA NewsOctober 20-22, 2025Contractor Registration FormSchaumburg, ILThis registration form is for use byContractors, Builders, Consultants, Specifiers, Code Officials, Engineers, Architects, and Insurance AgentsOnline registration available at www.mrca.org Company Name______________________________________________ ________________________________________________ Attendee Badge Name #1 ______________________________ Unique Email (required) _____________________________________ Attendee Badge Name #2 ______________________________ Unique Email (required) _____________________________________ Attendee Badge Name #3 ______________________________ Unique Email (required) _____________________________________ Company Address ______________________________________________________________________________________________ City _______________________________________State _______ Zip ___________Work Phone ___________________________ FULL Registrations:Includes Educational Sessions, MRCA Membership Meeting, Keynote Address, MRCA Welcome Reception and Foundation Auction, Meals, and Access to Exhibit Hall. (Excludes activities requiring separate registration fees below in Section B) M ember Full Registration$350 Additional Member Full Registration*$150x___ attendees = $___________ Non -Member Individual Full Registration $550(Note: Join and Register is a better Additional Non-Member Full Registration* $400x___ attendees = $___________ value if registering more than 1 person) * Discount for Additional is available only if registrants are from the same company. Also available to spouses or guests of attendees.Join and Register Option for All Contractors: Become an MRCA Member today and receive Silver Level Membership through 12/31/2026 and 1 complimentary FULL registration! Join MRCA and Register $795 Additional New MRCA Member Registration* $150 x___ attendees = $___________EXPO ONLY Registrations: This option is for Contractors, Builders, Consultants, Specifiers, Code Officials,Engineers, Architects, and Insurance Agents ONLY:FREE Non-Exhibiting MFRS, SUPPLIERS and REPS: $675 per person S UBTOTAL B OXA:$ _______________Activities Requiring Separate Registration Fee: Special Notes/Requests: All registrations below can be stand-alone registrationsThis is my First MRCA Conference & ExpoTopgolf Networking Event (Pre-Registration Required)I am 40 or under and interested in the Young Contractors Council Monday, Oct. 20th 12:00-3:00 pm I require special assistance onsite. Please contact me. (Includes 3 hours of golf, buffet lunch and all beverages) I have a dietary preference for meals. Please specify: $150 per person1 _____________________________________________ HAWT Instructor Training Course for Trainers $250 per person for MRCA Members$350 per person for Non-MembersTotal Payment Due: B OXA + B OXB $ ________________1HAWT Applicator Training Course for Applicators $150 per person for MRCA Members Check to MRCAVisaMCAmExDiscover$200 per person for Non-Members1 Card # ___________________________________________________ Young Contractors Council (YCC) Fundraiser Welcome PartyMonday, Oct. 20th 7:30-10:00pm $50 per person(Registration funds directly benefit the MRCA Foundation; Exp. Date _______Billing Zip Code _____________ CSV #_______ on-site registration available at $60)1Yoga Session hosted by MRCA WinR Includes Yoga Mat:Monday, Oct. 20th at 8:00 am Name on Card_____________________________________________FREE (Registration is required. Space is Limited) Cancellation Policy: All cancellations must be received in writing. A $15 processing fee applies to all cancellations. No refunds will be given after S UBTOTAL B OXB:$ ______________10/01/2025. All refunds will be processed after the conference. Mail completed form to: MRCA 7250 Poe Ave. Suite 410 Dayton, OH 45414 or Fax to 937-278-0317 or Email to info@mrca.org22 www.mrca.orgMidwest Roofer'