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Western Roofing Expo 2012 - Exhibitor Housing & Registration Form
 
E-Mail Address
 
Important: Enter a valid E-mail address. Receipts will be sent to this address.
E-Mail:*

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Registrant Information
Registrant 1 - First Name:*

Middle Initial:

Last Name:*

Last Name:

Company:*

Address:*

~Apt. or Suite No.
City:*

~~~
State:*

Zip Code:*

Country:*

Work Phone:*

Fax:

Cell Phone:

Category:*

Billing Information
Same As Registrant Info:

Must match name on Credit Card
First Name:

Middle Initial:

Last Name:

Address:

Apt. or Suite No.
City:

Apt. or Suite No.
State:

Zip Code:

Country:

Payment Information
Card Number:*

No dashes or spaces please
Expiration Month:*

Expiration Year:*

Card Type:*

CVV2:*

~Card Security Code
Advance Registration Information - Exhibitors
 
Your convention badge and materials will be ready on Saturday, June 23 at 1:00pm in the Paris-Las Vegas Hotel, WSRCA Registration Desk in the Paris Foyer.

• Full Registration Package: Includes Seminars, Welcoming Reception, Legislative Luncheon and Annual Luncheon.

• Event & Luncheon Tickets: Discounted pricing for Exhibitors
 
Full Registration - Exhibitors
Full Registration - Exhibitors
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Event and Luncheon Tickets - Exhibitors
Presidential Welcoming Reception
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Legislative Luncheon
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Annual Luncheon
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Spouse Program - (Limited)
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Housing Reservations
Housing Reservation deadline is May 22, 2012. After this date rooms may still be available, but on an “availability basis only” and rates may increase. Call WSRCA for up to date information (650-938-5441). For Suite information, please call WSRCA for availability, size and rates for suites. All room reservations must be made thru WSRCA for the secured rate discount.

Room rates are based on single/double occupancy. Additional persons will be charged at a rate of $30.00 per person per night, with a maximum of four (4) persons per guestroom.

All reservations must be guaranteed by a major credit card or a check made payable to the Paris Las Vegas Hotel or Bally’s Hotel for the first night’s deposit plus room tax (12%). It is the hotel’s policy to charge one nights room and tax upon booking. Reservations made with declined or invalid credit cards are subject to cancellation.

WSRCA does not charge your hotel room to your credit card; only the hotel will charge your credit card for your room. When you receive a Western Roofing Expo confirmation of registration, it will only show the number of rooms and room nights you have reserved , your arrival and departure dates along with any registrations you have purchased. Please review your confirmation carefully for accuracy. Any changes MUST be done directly with the WSRCA office by fax or email.
 
No Housing - Click Box Below:

Click check-box for NO HOUSING
Paris Las Vegas - $145.00 (+12% tax)
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Departure Date:

 
Bally`s Hotel - $112.00 (+12% Tax)
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Departure Date:

 
Bed Type:

Smoking/Non-Smoking:

Handicap Access

Occupant:

Occupant 2:

Occupant 3:

Occupant 4:

 
Additional Housing - 2
Paris Las Vegas - $145.00 (+12% tax)
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Departure Date:

 
Bally`s Hotel - $112.00 (+12% Tax)
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Departure Date:

 
Bed Type:

Smoking/Non-Smoking:

Handicap Access

Occupant:

Occupant 2:

Occupant 3:

Occupant 4:

 
Additional Housing - 3
Paris Las Vegas - $145.00 (+12% tax)
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Departure Date:

 
Bally`s Hotel - $112.00 (+12% Tax)
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Departure Date:

 
Bed Type:

Smoking/Non-Smoking:

Handicap Access

Occupant:

Occupant 2:

Occupant 3:

Occupant 4:

 
Additional Housing - 4
Paris Las Vegas - $145.00 (+12% tax)
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Departure Date:

 
Bally`s Hotel - $112.00 (+12% Tax)
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Departure Date:

 
Bed Type:

Smoking/Non-Smoking:

Handicap Access

Occupant:

Occupant 2:

Occupant 3:

Occupant 4:

 
Davis Memorial Foundation Tournaments - Sunday: 6/24/2012
Golf Tournament
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Revere Golf Club presents a blend of beauty and challenge unlike any other in Southern Nevada. The Club offers unending, awe-inspiring views of the city below and mountains beyond and the Lexington’s stunning 7,143 yard, par 72 layout will test your skills.
 
 
…Location/Date/Time: Revere Golf Club at Anthem, Lexington Course, Sunday 6/24/12 @ 7:30am
…Registration Fee: $195.00/person. Foursome $780. Additional Foursomes-same company = $680.00 ($100 savings)
...Included: Cart, Range Balls, Breakfast and BBQ Lunch
…Club Rentals: $65. Incl 2 sleeves of balls
…Buses: Depart at 6:30am - $15.00/person
…Mulligans $20 each (max 4/person). Mulligan Raffle: Set of Callaway Irons (or equivalent)
…Free Raffle Prizes: See web page for prize listing
 
 
Clays & Trap Tournament - Limited to 50
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Pro Gun Club offers a twenty-one station, five star rated, sporting clays course with one five stand, one FITASC five stand, trap and skeet fields, rifle and pistol bays, and an archery field. The club is over 160 acres of rolling terrain offering a distinct challenge for shooters.
 
 
…Location/Date/Time: Pro Gun Club (formerly Desert Hills Shooting Club), Sunday 6/24/12 @ 9:00am
…Registration Fee: $195.00/person.
...Included: Breakfast, BBQ Lunch, 4 boxes of shotgun shells, golf carts
…Beretta Gun Rentals: $25
…Buses: Depart at 7:30am - $15.00/person
…Poker Run Tickets: $20 each. Poker Run Raffle: $500 gift certificate to Cabela’s
…Free Raffle Prizes: See web page for prize listing
 
 
Bus Rider
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Rentals
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Mulligans
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Poker Run Tickets
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Participant:

Participant 2:

Participant 3:

Participant 4:

Davis Memorial Foundation - Tournament Sponsorships
Become a Tournament Sponsor! All Sponsors include recognition on www.davisfoundation.org, in the On-Site Convention Program at the Western Roofing Expo 2012, and a special thanks at the Tournaments themselves.
 
Exclusive Title Sponsor
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Sponsor our Golf AND Sporting Clays events! Both Tournaments would be publicized as THE DAVIS MEMORIAL FOUNDATION GOLF TOURNAMENT (SPONSORED BY _ ) and the same for Sporting Clays. It will be advertised in our Advance Registration Brochure (50,000 copies), On-Site Convention Program (2,000 copies), on WSRCA.com, on the event registration forms, on our event E-blasts, and on every sign at both Tournaments. We’re talking about some great exposure, all while supporting a great scholarship foundation! Price includes (4)players at either Tournament.
 
Platinum Sponsor
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Platinum Sponsor receives 2,000 Exhibitor Priority Points, 2 Golfers or Shooters at the Tournament of choice, and your logo on EVERY banner at BOTH tournaments. Major Exposure!
 
Gold Sponsor
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4 Golfers or Shooters at the Tournament of Choice. Also includes a Tee/Station Sponsorship at the Tournament of choice.
 
Silver Sponsor
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2 Golfers or Shooters at the Tournament of Choice. Also includes a Tee/Station Sponsorship at the Tournament of choice.
 
Bronze Sponsor
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1 Golfer or Shooter at the Tournament of Choice. Also includes a Tee/Station Sponsorship at the Tournament of Choice.
 
Tee/Station Sponsor
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Sponsor a Tee or Shooting Station. Includes recognition signage with your company logo at one Tee/Station at the Tournament.
 
Additional Foursome
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We are offering discounted registration costs on Additional Foursomes ($100 off) for participants from the same company.
 
Catering Sponsor
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Sponsor the breakfast and lunch catering at either the Golf or Sporting Clays Tournament. Includes recognition signage at both tournaments.
 
Bus Sponsor
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Includes signage at the bus stop and the opportunity to pass out goody bags or company logo merchandise on the bus to all riders to and from the Paris Las Vegas Hotel & Casino.
 
Poker Run Sponsor
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Winner of the Poker Run Card Game will win a $500 Cabela`s gift certificate. Includes signage at check-in, your logo printed on the tickets, and on-site recognition announcements.
 
Mulligan Raffle Sponsor
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Winner of the Mulligan Raffle will win a new set of Callaway Irons or comparable. Includes signage at the check-in, your logo printed on the tickets, and on-site recognition announcements.
Davis Memorial Foundation Annual Fundraiser
WIN a Mercedes Benz C300, OR a Harley Davidson Road King Classic, OR CASH $25,000!! Drawing on Tuesday, June 26, 2012 at the Western Roofing Expo, Paris Las Vegas Hotel, Tradeshow Floor at 5:30pm.

Buy a ticket for your chance to win the Grand Prize of: a 2012 Mercedes Benz C300 Sport Sedan. Don’t like luxury cars?? OR, if you love to ride motorcycles a Harley Davidson Road King Classic. Still not satisfied?? How about $25,000 CASH!! All proceeds go to benefit the Davis Memorial Foundation Scholarship Program.

…Tickets are $100 each with a maximum of 750 tickets to be sold
…Winner of the Grand Prize need not be present to win
…1st Prize = $500 Southwest Airlines voucher and 2nd Prize = $250 Southwest Airlines voucher. Winners MUST be present.
 
Annual Fundraiser
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WSRCA Membership - Discount Your Registration Costs!
Important: The undersigned firm hereby applies for membership in the Western States Roofing Contractors Association and certifies that the firm is actively engaged in the roofing contracting business and performs roofing, waterproofing, siding, and/or insulation work, or the firm/individual is engaged in the manufacturing and/or supplying of materials, equipment, or services used by roofing contractors or engaged in the design, specification, inspection, or consultation regarding roofing, roof decking, and roof systems. The undersigned agrees to abide by the by-laws of the Association as they are now in force or may hereafter be amended and to cooperate with fellow members in furthering the purpose and goals of the Association and in improving the roofing industry generally. Active members shall constitute the voting body of the Association. The following prices are your annual dues for one fiscal year. Upon receipt of your application, WSRCA will process it and send you a new member kit to the mailing address specified.
 
Same As Registrant (Section 1)

First Name:

Last Name:

Company:

Address:

Apt. or Suite No.
City:

~~~~~~
State:

Zip Code:

Country:

Work Phone:

Fax:

Cell Phone:

Email Address:

 
Contractor Member
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Associate Member
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Grand Total
GRAND TOTAL:
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