b'Midwest Roofing Contractors Association DISCOVER THE BENEFITS OFContractor 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 aPhone Faxprofessional contractor. By offering education, safety materials, and business tools, MRCA helps you 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,Other key personnel (will receive important information from MRCA):Talks and Monthly Meeting topics in Englishand networking at MRCAs Annual Conferenceand Spanish, that help meet OSHAs safetyNameTitleE-mailtraining requirements Ready-to-use templates and forms forNameAD HERE E-mailcontracts, warranties, and moreTitle A Safety Program Award that providesa detailed review of your safety programNameTitleE-mailMidwest Roofer magazine, a must-read forPrimary MarketA complimentary employee safety manual, industry news, trends, and products Commercial (low slope) Residential (steep slope)Botha great template to help create a compliantMembership Levelsafety programMember-only educational scholarships forSilver$795 $ ___________________employees and their families from theGold$1,000(includes $100 donation to MRCA Foundation) $ ___________________Complimentary legal advice on OSHA issues,MRCA Foundationcontracts, 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. TOTALmaterials Payment Information (select one)Check EnclosedVisa MasterCard American Express DiscoverName on Card (please print) Join your fellow professional roofing contractors Account NumberExp DateCSVand become an MRCA member today. SignatureIts 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 or Fax or Call or Apply Onlinereverse side. 7250 Poe Avenue 937.278.0317 800.497.6722 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'