roofing expo 2013 - Western States Roofing Contractors Association

BECOME A WSRCA MEMBER & RECEIVE A DISCOUNT!
HOUSING RESERVATIONS:
HOUSING DEADLINE: MAY 16, 2013
For Hotel Information, see page 16. Deadline is May 16, 2013 or until hotel is sold
out. After 5/16, call WSRCA for availability (650-938-5441). For Suite information, call
WSRCA. All reservations MUST be made thru WSRCA for discounted rate. Please indicate
the number of rooms requested. Maximum occupancy per room is (4) four. Additional
occupants per room = $30.00. For cancellations or changes, refer to page 16.
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WESTERN ROOFING EXPO 2013 • JUNE 9-12 • RENO, NEVADA
REGISTRATION & HOUSING FORM
REGISTER ONLINE www.WSRCA.com
• Please return this completed registration form with the appropriate fees to:
• Western States RCA, 465 Fairchild Drive, #210 Mountain View, CA 94043.
• OR Scan and e-mail with credit card info to: info@wsrca.com
• OR Fax with credit card info to: 650-938-5407
• Two (2) registrations per page/Duplicate registration for additional registrants
• Emails are necessary for confirmations.
• No phone registrations or reservations will be accepted
• See p.16 for further registration information. Questions? 1-800-725-0333
WSRCA Member
First Name:
First Name:
Company:
Address:
City, State, Zip:
Phone:
Email:
Arrival Date:
Departure Date:
Sharing with:
Non-Member
PEPPERMILL NORTH Room(s) at $109/per night +13% tax
PEPPERMILL TOWER Room(s) at $139/per night +13% tax
TUSCANY TOWER Room(s) at $169/per night +13% tax
Additional Persons
Non-Smoking Smoking
WSRCA Director
Last Name:
Last Name:
Fax:
Contractor Manufacturer Architect Affiliate Executive
Supplier Consultant Media Affiliate President
One (1) King Bed
Spouse
Roofing and/or Waterproofing Contractor $436 for Year 1
(A) Manufacturer of Roofing, Waterproofing Materials $828 for Year 1
(B) Roofing Equipment, Specialty Mfr., Accessories $564 for Year 1
(C) Area Distributor, Supplier of Roofing Materials $436 for Year 1
(D) Roofing Consultant $436 for Year 1
(E) Industrial, Institutional, or Other $436 for Year 1
(F) Architects, Engineers $172 for Year 1
(G) Insurance $788 for Year 1
Two (2) Queen Beds
FULL REGISTRATION: REGISTRATION DEADLINE: MAY 31, 2013
BEST VALUE!!
WSRCA Member
X $350 = $
Second WSRCA Member X $300 = $
Non-Members X $420 = $
Second Non-Member X $385 = $
DAILY REGISTRATION (SEMINARS & EXHIBITS)
WSRCA Member @ $85/day
Non-Member @ $100/day
MEAL & EVENT TICKETS (Explanation of Fees on p.16)
Spouse Program (Monday)
Legislative Luncheon (Monday)
Annual Luncheon (Tuesday)
SAFETY EXPO 2013 (See p.15)
DAILY - EXHIBITS ONLY
Contractor Tradeshow Only - Use FREE Pass (p.18)
FREE!
Non-Exhibiting Manufacturer/Supplier $150 $
Other $20 $
Exhibiting Personnel $25 $
AUXILIARY SEMINARS
RCI Region IV Seminars
$80
$90
$
JM BURSI
$50 $75
$
50/50 Gold Drawing Ticket @ $20/each (See p.11)
TOTAL REGISTRATION FEES:
Registration Fees:
New Member Fees:
Davis Memorial Foundation Fees:
GRAND TOTAL : $
PAYMENT INFORMATION
CHECK enclosed (U.S. Funds ONLY)
If payment is made by check make sure that:
1. Convention & Membership Totals payable to Western States RCA
2. Tournament Fees, 50/50 Gold Drawing Tickets Payable to Davis Memorial Foundation
3. Housing Payable to Peppermill Resort & Casino
Card Number:
Expiration Date:
Signature:
WESTERN STATES
ROOFING CONTRACTORS ASSOCIATION
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Sun.
# of Persons Advance Price Total
#
#
Mon.
$95 ($120)
MasterCard Visa AmEx Discover
Card ID:
Tues.
#
# Members # Non-Mbrs
$40 ($60) $50 ($70)
$65 ($80)
#
$75 ($90)
$110 ($135)
$
$
$
WSRCA.com • 800-725-0333
$
$
$
$
$
$
$
Total
Total
Total
# Members # Non-Mbrs Total
DAVIS MEMORIAL FOUNDATION TOURNAMENTS (See p.12)
Total Golf Total Clays Total Sponsorship
$ $ $
Total
Total
19