b'MRCA 74th Annual Conference & Expo October 21-23, 2024Contractor Registration FormSaint Paul, MinnesotaThis 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) Member 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 12/31/2024 and 1 complimentary FULL registration! Join MRCA and Register$795 Additional New MRCA Member Registration* $150 x___ attendees = $___________1-Day Registrations: Includes 1 day of General Educational Sessions and Access to the Exhibit Hall on Tuesday.(Excludes activities requiring separate registration fees below in Section B.) Check the day you will attend: 1-Day Member Individual Registration$175 Monday$175 Tuesday 1-Day Non-Member Individual Registration $275 Monday$275 Tuesday Selected rate $_______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 registrations This is my First MRCA Conference & ExpoHAWT Instructor Training Course for Trainers(Includes Meals & Exhibit Hall Access) I am 40 or under and interested in the Young Contractors Council$550 per person for MRCA Members$650 per person for Non-Members I require special assistance onsite. Please contact me. HAWT Applicator Training Course for Applicators(Includes Meals & Exhibit Hall )I have a dietary preference for meals. Please specify: $300 per person for MRCA Members_____________________________________________$400 per person for Non-MembersCERTA Train-the-Trainer Course for NEW Trainers and Reauthorization (Includes Meals & Access to Exhibit Hall) Total Payment Due: B OXA + B OXB $ ________________ $525 per person for MRCA and NRCA Members$650 per person for Non-Members CERTA Applicator Training Course for NEW Applicators and Reauthorization Check to MRCAVisaMCAmExDiscover (Includes Meals & Access to Exhibit Hall) $425 per person for MRCA and NRCA MembersCard # ___________________________________________________$550 per person for Non-Members Young Contractors Council (YCC) Fundraiser Welcome Party Exp. Date _______Billing Zip Code _____________ CSV #_______ Themed Casino Night benefitting the MRCA Foundation: Monday, Oct. 21st 7:30-10:00pm $50 per person. (this registration fee goes directly to the MRCA Foundation)Name on Card_____________________________________________Yoga Session hosted by MRCA WinR Includes Yoga Mat:Monday, Oct. 21st at 9:00 am at the Intercontinental Hotel Cancellation Policy: All cancellations must be received in writing. A $15FREE(Registration is required) processing fee applies to all cancellations. No refunds will be given after S UBTOTAL B OXB:$ ______________10/01/2024. 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.org11www.mrca.orgMidwest Roofer 11'