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 FoundationAuction, Meals, and Access to Exhibit Hall. Member price is being extended to (CRCA) Chicago Roofing Contractor Association Members. 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 12/31/2026 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 and CRCA Members$350 per person for Non-MembersTotal Payment Due: B OXA + B OXB $ ________________1HAWT Applicator Training Course for Applicators $150 per person for MRCA and CRCA 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.org28 www.mrca.orgMidwest Roofer'