b'Midwest Roofing Contractors Association DISCOVER THE BENEFITS OF Contractor Membership ApplicationMRCA Membership Company NameCompany AddressTheMidwestRoofingContractorsAssociation(MRCA)istheContractorsAdvocate.WithCity State Zip Codemembership spanning 17 states throughout the Midwest, MRCA is dedicated to your needs as a professional contractor. By offering education, safety materials, and business tools, MRCA helpsPhone Faxyou grow your business, create a safer workplace, and save time and money. Company E-mailCompany WebsitePrimary Contact (will also be billing contact)TitleE-mailJoin MRCA today for exclusive access to:Referred by: NameSafety Manager Contact E-mail Electronic distribution of monthly ToolboxOne-of-a-kind education, technical updates, Talks and Monthly Meeting topics in Englishand networking at MRCAs Annual Conference Other key personnel (will receive important information from MRCA):and Spanish, that help meet OSHAs safety training requirements NameTitleE-mailReady-to-use templates and forms for A Safety Program Award that provides contracts, warranties, and moreNameTitleE-maila detailed review of your safety programNameTitleE-mailMidwest Roofer magazine, a must-read forPrimary MarketA complimentary employee safety manual, industry news, trends, and productsa great template to help create a compliantCommercial (low slope) Residential (steep slope)Bothsafety programMember-only educational scholarships forMembership Levelemployees and their families from theSilver$795 $ ___________________Complimentary legal advice on OSHA issues,MRCA Foundation Gold$1,000(includes $100 donation to MRCA Foundation) $ ___________________contracts, and applicator agreementsPlatinum$1,500 (includes $300 donation to MRCA Foundation) $ ___________________The Young Contractors Council, whichBranch$200 $ ___________________Ask the Expert: On-demand technicalprovides relevant education, mentoring, andMember company affiliation ______________________________advice regarding roofing projects andnetworking for contractors younger than 40.materials TOTALPayment Information (select one)Check EnclosedVisa MasterCard American Express DiscoverName on Card (please print) Join your fellow professional roofing contractorsand become an MRCA member today.Account NumberExp DateCSVSignatureIts easy!Call 800.497.6722, go online toReturn form with payment to the Midwest Roofing Contractors Association.www.mrca.org, or mail the application on the Mail Fax Call Apply Onlinereverse side. 7250 Poe Avenue or 937.278.0317 or 800.497.6722 or www.mrca.orgSuite 410Dayton, OH.45414 0% of your membership dues are attributable to nondeductible lobbying expenses as described under Internal Revenue Code Section 162(e). Please consult with your tax advisor regarding deductibility of your membership dues. 7-21-2021 DR 7-21-2021 DRMRCA15_MalarkeyMemberApp.indd 1 11/13/14 1:56 PM MRCA15_MalarkeyMemberApp.indd 2 11/13/14 1:56 PM'