IRCA Annual Meeting
11/09/2007
Sheraton Keystone Crossing
8787 Keystone Crossing
Indianapolis, IN  46240
Phone: 317-846-2700
Sheraton Website

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Download Credit Card Acceptance Form

 

Please complete the form below.

Please Answer Yes to the Ready to Submit? when you have completed your form.

Mail your payment to:

Indiana Roofing Contractors Association
c/o Henry C. Smither Roofing Co. Inc.
PO Box 26057
Indianapolis, IN  46226

Main Registrant Attending: Meeting Lunch Dinner

List Additional Guests (please complete for each individual)

Guest 1 Name Attending: Meeting Lunch Dinner

Guest 2 Name Attending: Meeting Lunch Dinner

Guest 3 Name Attending: Meeting Lunch Dinner

Guest 4 Name Attending: Meeting Lunch Dinner

Guest 5 Name Attending: Meeting Lunch Dinner

Guest 6 Name Attending: Meeting Lunch Dinner

Guest 7 Name Attending: Meeting Lunch Dinner

Guest 8 Name Attending: Meeting Lunch Dinner

Guest 9 Name Attending: Meeting Lunch Dinner

Company

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Address2 

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Payment *

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(Download Credit Card Acceptance Form)

We Now Accept Major Credit Cards For Payment, please complete the acceptance form and fax back to 317-546-4764

Comments

 

Please Enter Quantity for Each Item Selected (Should match quantity above):

 

(Qty) Business Meeting (Free to Members)

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(Qty) Lunch (Free to Members, ($25.00 for Non-Members)

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(Qty) Dinner Only ($68.00 for Members and $88.00 for Non-Members)

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($ Amount) Prize Donation

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