Training Registration Form

-- NOTE:*means required for form to be processed. Indicate "NA" in any required field
that does not apply to you
**Last Four digits of your Social Security Number required for NBPI Course Only**

SSPC Membership Status:* Member Non-Member SSPC Individual
Member ID Number
Last Name* First Name*
Middle Initial  Social Security#*
Title* Company*
Company Address* City*
State* Zip*
Telephone* Fax 
Email* Web Site Address  
Permission to contact you via the methods above. Without this permission in the future we may not be able to send you information you request from us. The presence of the check in the checkbox affirms that you elect to receive information from SSPC.
Demographic Information -- This must be completed, or we cannot process your application.

1. What is your primary business in terms of coatings work?
(Check only one).*
A. Architect / Engineer / Consultant
B. Contractor:
       If Contractor type not listed enter here:
C. Dealer/Distributor/Store
D. Fabricator
E. Facility owner (end user of coatings):
       If Owner type not listed enter here:
F. Flooring
G. Government, Regulatory Agency, Research:
       If type not listed enter here:
H. Manufacturer:
       If Manufacturer type not listed enter here:
I. Marketing & Distribution
J. Other (specify)
K. Shipyard
Select a course location* Must submit separate forms for multiple course registrations.
Seattle WA - June 9 - 10, 2009 - Todd Pacific Shipyards - (1801 16th Ave. SW) -
Offering Water Jetting Program (C-13) (2 day course)
(Registration Deadline May 18, 2009)
Garland, TX - June 15-20, 2009 - Sherwin Williams 2810 West Miller Road-
http://www2.sherwin-williams.com
Offering Concrete Coating Inspector Program (CCI)
(Registration Deadline May 25, 2009)
San Diego, CA - June 23 - 24, 2009 -
Offering Airless Spray Basics (C-12)
(Registration Deadline June 8, 2009)
Phoenix, AZ - July 18, 2009 Central Arizona Project (23636 North Seventh St) -
Offering Protective Coatings Specialist (PCS)
(Registration Deadline June 22, 2009)
Pittsburgh, PA - July 20 - 25, 2009 - KTA-Tator, Inc. 115 Technology Drive -
www.kta.com
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline June 29, 2009)
Ho Chi Minh, Vietnam - July 20 - 25, 2009 -
Offering Applicator Train-the-Trainer Program
(Registration Deadline April 14, 2008)
Batam, Indonesia - July 27 - August 1, 2009 - Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline July 13, 2009)
QED Systems - Aiea, HI - August 3 - 4, 2009 -
Offering Airless Spray Basics (C-12)
(Registration Deadline July 13, 2009)
QED Systems - Aiea, HI - August 5 - 6, 2009 -
Offering Marine Plural Component Program (MPCAC, C-14)
(Registration Deadline July 14, 2009)
PolySpec L.P. - Houston, TX - August 10 - 15, 2009 - 6614 Gant Road
Offering Concrete Coating Inspector Program (CCI)
(Registration Deadline July 20, 2009)
QED Systems - Hanoi, Vietnam - August 10 - 15, 2009
Offering Airless Spray Basics (C-12)
(Registration Deadline May 12, 2008)
Shanghai, China - August 10 - 15, 2009
- note: To register for this offering email - He Yan - gaolu@moody.com.cn -
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline July 20, 2009)
QED - Port Orchard, WA - August 14, 2009 -
Offering Coating Application Specialist Certification Program (CAS)
(Registration Deadline July 24, 2009)
Pittsburgh, PA - August 13 - 14, 2009 - KTA-Tator, Inc. 115 Technology Drive -
www.kta.com
Offering Applicator Train-the-Trainer Program
(Registration Deadline July 25, 2009)
Pittsburgh, PA - August 19, 2009 - KTA-Tator, Inc. 115 Technology Drive -
www.kta.com
Offering Coating Application Specialist Certification Program (CAS)
(Registration Deadline July 29, 2009)
Kent, WA - August 24 - 25, 2009 - Long Painting Company (21414 68th Ave S) -
Offering Project Management
(Registration Deadline August 3, 2009)
Aiea, HI - August 31 - September 4, 2009
Offering NAVSEA Basic Paint Inspector (NBPI)
(Registration Deadline August 10, 2009)
Manila, Phillipines - September 21 - 26, 2009
Offering Airless Spray Basics (C-12)
(Registration Deadline August 17, 2009)
QED Systems - Aiea, HI - September 11, 2009
Offering Coating Application Specialist Certification Program (CAS)
(Registration Deadline August 21, 2009)
Cincinnati, OH - September 14 - 15, 2009 - General Polymers 145 Caldwell Dr. -
www.generalpolymers.com
Offering Floor Coating Basics(Registration Deadline August 24, 2009)
QED - Port Orchard, WA - September 14 - 15, 2009
Offering Airless Spray Basics (C-12)
(Registration Deadline August 24, 2009)
Gunderson Inc. - Portland, OR - September 14 - 18, 2009
Offering Fundamentals of Protective Coatings (C-1)
(Registration Deadline August 24, 2009)
Orlando, FL - September 14 - 19, 2009 - DoubleTree Hotel at the Entrance to Universal Studios - 5780 Major Boulevard
Offering Bridge Coating Inspector Program (BCI)
(Registration Deadline August 24, 2009)
QED - Port Orchard, WA - September 16 - 17, 2009
Offering Marine Plural Component Program (MPCAC, C-14)
(Registration Deadline August 24, 2009)
Norfolk, VA - September 18 - 19, 2009 - Virginia Materials, Inc. (3306 Peterson Street) -
Offering Airless Spray Basics (C-12)
(Registration Deadline August 28, 2009)
Norfolk, VA - September 21 - 26, 2009 - Rapid Deployment Systems - 2001 Old Greenbrier Rd, Ste B - Sponsored by: SSPC Hampton Roads Chapter
Offering Concrete Coating Inspector Program (CCI)
(Registration Deadline August 31, 2009)
Pasadena, TX - September 21 - 25, 2008 - Munters Corporation - Moisture Control Services 1465 East Sam Houston Parkway South, Ste 190 -
www.munters.com
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline August 31, 2009)
Bessemer, AL - September 28 - October 2, 2009 - Vulcan Painters, Inc. 2400 Woodward Road -
www.vulcan-group.com
Offering Planning and Specifying Industrial Coatings Projects (C-2)
(Registration Deadline September 7, 2009)
Bessemer, AL - September 28 - October 2, 2009 - Vulcan Painters, Inc. 2400 Woodward Road -
www.vulcan-group.com
Offering Protective Coatings Specialist (PCS)
(Registration Deadline September 7, 2009)
QED - Port Orchard, WA - October 5 - 6, 2009
Offering Abrasive Blasting Program (C-7)
(Registration Deadline September 14, 2009)
Annapolis Junction, MD - October 5 - 9, 2009 - Greenman Pedersen, Inc., 10977 Guilford Rd -
www.gpinet.com
Offering Fundamentals of Protective Coatings (C-1)
(Registration Deadline September 14, 2009)
Singapore - October 5 - 10, 2009 - QUALITY HOTEL SINGAPORE 201 BALESTIER ROAD -
http://www.qualityhotel.com.sg
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline April 16, 2008)
QED - Port Orchard, WA - October 7 - 8, 2009
Offering Water Jetting Program (C-13)
(Registration Deadline September 14, 2009)
Gunderson Inc. - Portland, OR - October 12 - 16, 2009
Offering Planning and Specifying Industrial Coatings Projects (C-2)
(Registration Deadline September 21, 2009)
Gunderson Inc. - Portland, OR - October 17, 2009 -
Offering Protective Coatings Specialist (PCS)
(Registration Deadline September 21, 2009)
Norfolk, VA - October 17, 2009 - Virginia Materials, Inc. (3306 Peterson Street) (*Modified* C7 1 day course) -
Offering C-7 Dry Abrasive Blaster Certification Program
(Registration Deadline September 25, 2009)
Pittsburgh, PA - October 19 - 20, 2009 - SSPC Headquarters (40 24th St 6th Fl) -
Offering Project Management
(Registration Deadline September 28, 2009)
Garland, TX - October 19 - 20, 2009 - Sherwin Williams 2810 West Miller Road-
http://www2.sherwin-williams.com
Offering Floor Coating Basics
(Registration Deadline September 28, 2009)
Norfolk, VA - October 19 - 23, 2009 - Rapid Deployment Systems - 2001 Old Greenbrier Rd, Ste B - Sponsored by: SSPC Hampton Roads Chapter
Offering Marine Coatings
(Registration Deadline September 28, 2009)
Kuantan, Malaysia - October 26 - 31, 2009
Offering Fundamentals of Protective Coatings (C-1)
(Registration Deadline September 28, 2009)
QED Systems - San Diego, CA - October 23, 2009
Offering Coating Application Specialist Certification Program (CAS)
(Registration Deadline October 2, 2009)
Munters Corporation - Moisture Control Services - Pasadena, TX - November 2 - 6, 2009 -
www.munters.com
Offering Fundamentals of Protective Coatings (C-1)
(Registration Deadline October 12, 2009)
Annapolis Junction, MD - November 2 - 6, 2009 - Greenman Pedersen, Inc., 10977 Guilford Rd -
www.gpinet.com
Offering Planning and Specifying Industrial Coatings Projects (C-2)
(Registration Deadline October 12, 2009)
Long Painting Company - Kent, WA - November 2 - 7, 2009 - Long Painting Company (21414 68th Ave S) -
Offering Concrete Coating Inspector Program (CCI)
(Registration Deadline October 12, 2009)
Batam, Indonesia - November 6 - 17, 2009 - note: this is an evening class - held 6:30-10:30pm over 10 days
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline October 16, 2009)
Annapolis Junction, MD - November 7, 2009 - Greenman Pedersen, Inc., 10977 Guilford Rd -
www.gpinet.com Offering PCS - Protective Coatings Specialist (1 day exam)
(Registration Deadline October 12, 2009)
QED - Port Orchard, WA - November 9 - 13, 2009 -
Offering NAVSEA Basic Paint Inspector (NBPI)
(Registration Deadline October 19, 2009)
St. Petersburg, FL - The Heritage Hotel 234 3rd Ave North - November 9 - 14, 2009
www.theheritagehi.com
Offering Bridge Coating Inspector Program (BCI)
(Registration Deadline October 19, 2009)
Hammond, IN - November 18 - 11, 2009 - Manta Industrial, Inc. 141 141st St -
http://k2industrial.com/contact.shtml Offering Applicator Train-the-Trainer Program
(Registration Deadline October 20, 2009)
Hammond, IN - November 12, 2009 - Manta Industrial, Inc. 141 141st St -
http://k2industrial.com/contact.shtml
Offering Coating Application Specialist Certification Program (CAS)
(Registration Deadline October 20, 2009)
Norfolk, VA - November 13 - 14, 2009 - Virginia Materials, Inc. (3306 Peterson Street) (*Modified* C7 1 day course) -
Offering Airless Spray Basics (C-12)
(Registration Deadline October 23, 2009)
Cincinnati, OH - November 16 - 17, 2009 - General Polymers 145 Caldwell Dr. -
www.generalpolymers.com
Offering Floor Coating Basics(Registration Deadline October 26, 2009)
Jakarta, Indonesia - November 23 - 28, 2009 -
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline November 2, 2009)
Thailand - December 7 - 12, 2009 -
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline: call SSPC)
Hammond, IN - December 7 - 12, 2009 - Manta Industrial, Inc. 141 141st St -
http://k2industrial.com/contact.shtml
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline November 16, 2009)
Shenzhen, China - December 21 Ñ 26, 2009
- note: To register for this offering email Shenzhen: Gao Lu - gaolu@moody.com.cn -
Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline November 16, 2009)

Course Selection: Check box next to course you want to take* Ensure the course you select below is offered at the location selected above.
SURFACE PREPARATION & COATINGS APPLICATION
Member
Non-Member
Coating Application Specialist (CAS) Certification Program - Level 1 - a one-hour written exam $175 $275
Coating Application Specialist - Level 2 Certification Program (CAS) (Interim Status) - 1 Day Certification Written Exam $175 $275
Coating Application Specialist - Level 2 Certification Program (CAS) (Interim Status) - 1 Day Certification Hands-on Skills Assessment $175 $275
Coating Application Specialist - Level 2 Certification Program (CAS) (Full Status) - 1 Day Certification Written Exam $175 $275
Coating Application Specialist - Level 2 Certification Program (CAS) (Full Status) - 1 Day Certification Hands-on Skills Assessment $175 $275
Abrasive Blasting Program (C-7) - 2 Days / 16 Hours, Includes Written Exam and Hands-On Skills Assessment - Credits: 0.6 CEU"s $795 $995
Abrasive Blasting Program (C-7) *Modified one day course* $250 $350
Water Jetting Program (C-13) - 2 Days / 16 Hours (Includes Written Exam and Hands-on Skill Assessment) $795 $995
Airless Spray Basics (C-12) - Training with Simulator PLUS Certification (3 Days), 3 Days/24 Hours, includes Certification Written Exam & Hands-on Skills Assessment - Credits: .6 CEU's:**This course meets the NAVSEA 009-32 requirements.** $795 $995
Airless Spray Basics (C-12) - Technician Level 2 Days/16 Hours, includes Written Exam & Hands-on Skills Assessment - Credits: .6 CEU's $595 $795
Airless Spray Basics (C-12) - Certification Only, Certification only (1 day) - Credits: .6 CEU's:**This course meets the NAVSEA 009-32 requirements.** $795 $995
Applicator Train-the-Trainer Program - 2 Days / 16 Hours, includes Written Exam & Hands-on Skills Assessment - Credits: .6 CEU's $795 $995
Note:Click here to view SSPC's requirements for taking the Applicator Train-the-Trainer Program. Close the window when done to return to this form
Floor Coating Basics - 2 Days / 16 Hours (Includes Course Exam) - Credits: 1.5 CEU's $595 $795
Marine Plural Component Program (MPCAC - C-14) 2 Days/16 Hours, Includes Written Exam & Hands-On Skills Assessment - Credits: 0.7 CEU's $795 $995
Note:Click here to view SSPC's requirements for taking the C-14 Certification Program. Close the window when done to return to this form
Plural Component Basics - 2 Days/16 Hours, Includes Written Exam & Hands-On Skills Assessment - Credits: 0.7 CEU's $595 $795
Course Selection: Check box next to course you want to take* Ensure the course you select below is offered at the location selected above.
INSPECTION
Member
Non-Member
PCI Basic Inspector: Course, Course Exam (5 days) - Credits: 4.5 CEU's $995 $1195
PCI Certified Inspector: Course, Course Exam and Certification Exam (6 days) - Credits: 4.5 CEU's $1395 $1595
Note:Click here to view SSPC's requirements for taking the Level 2 PCI. Close the window when done to return to this form
PCI - Course Exam Only (1 day): (Includes exam and student manual): $250 $450
PCI - Certification Exam Only (1 day): (Includes certification exam and student manual) $350 $550
Concrete Coating Inspector Program (CCI) - Certification Level: Course, Course Exam, Intensive Training and Certification Exam (6 days) - Credits: 4.5 CEU's $1395 $1595
Note:Click here to view SSPC's requirements for taking the Certification level C-11. Close the window when done to return to this form
Concrete Coating Inspector Program (CCI) - Technician Level: Tech Level Course and Course Exam (4 days) - Credits: 3.2 CEU's $995 $1195
Concrete Coating Inspector Program (CCI) - Certification Intensive Training & Exam Only (2 days) - Credits: 1.5 CEU's $795 $995
Concrete Coating Inspector Program (CCI) - Course Exam Only (1 day): (Includes exam and student manual) $250 $450
Concrete Coating Inspector Program (CCI) - Certification Exam Only (1 day) - Credits: 1.5 CEU's $350 $550
BCI - Level 1: Bridge Coating Inspector Program (BCI) - Course, Course Exam (5 days) $995 $1195
BCI - Level 2: Bridge Coating Inspector Program (BCI) - 3 Days, Course, Course Exam plus 1 Day Certification Exam, Credits: 4.5 CEU's $1395 $1595
Note:Click here to view SSPC's requirements for taking the Level 2 BCI. Close the window when done to return to this form
BCI - Course Exam Only (Half day): (Includes exam and student manual): $250 $450
BCI - Certification Exam Only (Half day): (Includes certification exam and student manual) $350 $550
NAVSEA Basic Paint Inspector (NBPI) (5 days) 5 Days, Includes Course & Course Exams - Credits: 3.8 CEU's $1095 $1295
Note:Click here to view SSPC's requirements for taking NAVSEA Basic Paint Inspector (NBPI) . Close the window when done to return to this form
Project Management for the Industrial Painting Contractor 2 days/16 hours. Includes Multi-Part Written Exam - Credits: 1.5 CEU's $595 $795
Course Selection: Check box next to course you want to take* Ensure the course you select below is offered at the location selected above. No Location required for Online Computer Courses
COATINGS TECHNOLOGY, MANAGEMENT & SAFETY
Member
Non-Member
Fundamentals of Protective Coatings (C-1) - 5 Days / 40 Hours, Includes Course Exam - Credits: 3.8 CEU's $995 $1195
(C-1) (Course Exam Only) Fundamentals of Protective Coatings $250 $450
(C-1eCourse) Online Computer Course Fundamentals of Protective Coatings $795 $995
Planning and Specifying Industrial Coatings Projects (C-2) - 5 Days / 40 Hours, Includes Course Exam - Credits: 3.8 CEU's $995 $1195
(C-2eCourse) Online Computer Course Planning and Specifying Industrial Coatings Projects (C-2) $795 $995
Lead Paint Removal (C-3) - 4 Days / 32 Hours, Includes Course Exam - Credits: 3.0 CEU's $995 $1195
Lead Paint Removal Refresher (C-5) - 1 Day / 8 Hours, Includes Course Exam - Credits: 0.8 CEU's $395 $595
Marine Coatings 5 Days /40 Hours: (Includes Written Exam & Hands-on Skills Assessment) - Credits: 3.8 CEU's $995 $1195
QCS: SSPC QP Quality Control Supervisor Course $595 $795
QCSe: SSPC QP Quality Control Supervisor Course Online Computer Course $395 $595
Lead Paint Worker Safety $395 $595
(PCS Exam) Protective Coatings Specialist $500 $700
Note:Click here to view SSPC's requirements for taking PCS Exam. Close the window when done to return to this form
State Supplements (C-3 or C-5 courses only.) Check the ones you will attend) -
New Jersey $25 (C3 or C-5) Illinois $25 (C3 or C-5) Maryland $25 (C3 or C-5)
Missouri $25 (C-5 only) Virginia $25 (C3 or C-5)

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Free Membership from SSPC

By registering for a Training course at the nonmember rate, you join SSPC as an individual member at no additional cost to you. Your membership includes a subscription to the "Journal of Protective Coatings & Linings". We will process your application, and you will receive your membership card and JPCL magazine shortly thereafter. This offer is valid only for new members or those whose membership has been inactive for at least six months.

Cancellation/Refund Policy
SSPC reserves the right to cancel up to 17 days before the scheduled training is to begin due to low registration. If a training event is cancelled, registrants receive a full refund of payments for course fees and supplemental material or SSPC can transfer your registration fee to an upcoming training. If you do not enroll in another class within one year, the fees will be forfeited.
If you choose to cancel and SSPC receives your written cancellation:
A) up to 30 days before the training, the registration fee is refundable, minus a $50.00 service charge or you may select a full credit towards a future training class or event.
B) is received from 29 to 17 calendar days before the training, the fee is refundable at 50%, minus a $50.00 service charge or you may select a full credit towards a future conference or training event.
C) is received in 16 or fewer days before the training, you will receive credit towards a future conference or training event, minus a $50.00 service charge. If you do not cancel or attend, you are still responsible for the payment. All credits for future classes due to your cancellation are forfeited if you do not attend another class within one year of your first cancellation.
Under no circumstances is SSPC responsible for reimbursement of any airline tickets, guaranteed reservations or other expenses associated with a student attending any class.