www.mrca.org  —  Midwest Roofer
22
LEADERSHIP SUMMIT 
November 17-19, 2026 
The Westin Cape Coral Resort at Marina Village and Cape Royal Golf Club  
Cape Coral, Florida 
CONTRACTOR REGISTRATION FORM  (Online Registration Available at www.mrca.org) 
Company Name  _______________________________________________________________________________________________ 
Contractor Badge Name  _________________________________   Email (required) ________________________________________ 
Company Address  _____________________________________________________________________________________________ 
City __________________________________  State _______   Zip ___________  Phone  ____________________________________     
 Contractor Registration Fee = $995.00 per person      Couple Registration Fee = $1990 per couple 
Registration includes: high caliber Educational Sessions and Keynote Address; Foundation Auction Event & Dinner; Thursday Meals, YCC Event &  
Farewell Dinner; Networking Opportunities and interaction with Vendors.   Spouse/Guest Badge Name ______________________________    
 
 Non-Industry Guest Evening Events ONLY (21 and older) Registration Fee = $500.00 per person     
Registration includes: Foundation Auction Event & Dinner AND YCC Event & Farewell Dinner ONLY. 
Guest Badge Name ______________________________    
Guest Badge Name ______________________________    
 
 Non-Industry Guest Evening Events ONLY (13-20 years of age) Registration Fee = $350.00 per person     
Registration includes: Foundation Auction Event & Dinner AND YCC Event & Farewell Dinner ONLY. 
Guest Badge Name ______________________________    
Guest Badge Name ______________________________ 
 
 Non-Industry Guest Evening Events ONLY (12 years of age and under) Registration Fee = FREE 
Registration includes: Foundation Auction Event & Dinner AND YCC Event & Farewell Dinner ONLY. 
Guest Badge Name ______________________________    
Guest Badge Name ______________________________ 
 
 
 
SUMMIT GOLF OUTING REGISTRATION:  
Golf Registration includes: greens fees, carts, use of driving range, buffet lunch, drink tickets, transportation to and from the course, an 
MRCA branded golf shirt and MRCA branded golf balls. Registration must be received by Sept. 25th to receive an MRCA golf shirt!  
 
 Golfer Registration Fee = $295.00 per person              Team Registration Fee = $1000 per foursome 
 
Golfer #1 __________________________________   
Rental Clubs for $65 (circle) 
YES/NO MENS/WOMENS  
LEFT/RIGHT-HANDED 
 No, I do not require a shirt. 
 Yes, I would like a  (Mens or Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) (circle choices) 
 
Golfer #2 __________________________________ 
Rental Clubs for $65 (circle) 
YES/NO MENS/WOMENS  
LEFT/RIGHT-HANDED 
 No, I do not require a shirt. 
 Yes, I would like a  (Mens or Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) (circle choices) 
 
Golfer #3 __________________________________  
Rental Clubs for $65 (circle) 
YES/NO MENS/WOMENS  
LEFT/RIGHT-HANDED 
 No, I do not require a shirt. 
 Yes, I would like a  (Mens or Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) (circle choices) 
 
Golfer #4 __________________________________ 
Rental Clubs for $65 (circle) 
YES/NO MENS/WOMENS  
LEFT/RIGHT-HANDED 
 No, I do not require a shirt. 
 Yes, I would like a  (Mens or Womens) Polo Sport Shirt in Size (S, M, L, XL, 2XL, 3XL, 4XL) (circle choices) 
 
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