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  
Approving Manager's Name   Their Title  
Other Association Membership*   Your Education level, or other Certifications*  

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. Facility owner (end user of coatings)
B. Architect / Engineer / Consultant
C. Contractor:
       If Contractor type not listed enter below
D. Shipyard
E. Fabricator
F. Manufacturer:
       If Manufacturer type not listed enter below
G. Dealer/Distributor/Store
H. Government, Regulatory Agency, Research
I. Other (specify)
In which industries or structures are you involved in coatings work?
(Select all that apply)
A. Chemical processing
B. Petroleum refining/processing/distribution
C. Metals and mining
D. Pulp and paper
E. Oil/gas production
F. Power, Conventional
G. Power, Nuclear
H. Bridge and highway
I. Waterfront/locks/dams
J. Water works/storage
K. Waste treatment
L. Food, beverage or pharmaceutical
M. Pipeline
N. Gas utility
O. Shipping/ship management
P. Railcar manufacturing and/or repair
Q. Equipment/vehicle manufacturing and maintenance
R. Military
S. Stadiums & theme parks
T. General Commercial
Y. Other (please specify)
3. Which products and services do you purchase or specify? (Select all that apply)*

A. Coatings for steel
B. Coatings or materials to protect concrete
C. Surface preparation equipment and materials
D. Coatings application equipment
E. Coatings inspection equipment
F. Safety equipment
G. Containment
H. Access and scaffolding equipment
I. Lab and field testing equipment
J. Coatings raw materials
K. Painting services
L. Consulting or engineering services
Y. Other (please specify)

Location and Course Information --> --> -->
Select a course location* Must submit separate forms for multiple course registrations.
Pittsburgh, PA - June 23 - 24, 2008 - KTA-Tator, Inc. 115 Technology Drive -
www.kta.com Offering Floor Coating Basics
(Registration Deadline June 2, 2008)
Edmonton, Alberta - June 23 - 28, 2008- The Northern Alberta Institute of Technology (11762-106 Street) -
Offering, Fundamentals of Protective Coatings (C-1) (June 23 - 27), and PCS (June 28)
(Registration Deadline June 2, 2008)
Pittsburgh, PA - July 14 - 19, 2008 - KTA-Tator, Inc. 115 Technology Drive -
www.kta.com Offering Concrete Coating Inspector Program (kta3 )
(Registration Deadline June 23, 2008)
Seattle WA - August 5 - 8, 2008 - Todd Pacific Shipyards - (1801 16th Ave. SW) -
Offering Marine Plural Component Program (MPCAC - C-14) (August 5 - 6) (2 day course), and Airless Spray Basics (C-12) (August 7 - 8) (2 day course)
(Registration Deadline July 15, 2008)
Louisville, KY - August 13 - 17, 2008 - Innovative Productivity, Inc. / NST Center (401 Industry Road, Suite 500) -
Offering NAVSEA Basic Paint Inspector (NBPI) (August 13 - 17) (5 day course), and Marine Coatings (July 13 - 17) (5 day course)
(Registration Deadline July 23, 2008)
Shreveport, LA - September 8 - 13, 2008 - Martin Specialty Coatings, Inc. 5015 Flournoy Lucas Road -
www.martinsc.com Offering Managing Coatings Projects (C-2) (August 8 - 12) (5 day course), and Protective Coatings Specialist (PCS exam) (August 13) (1 day)
(Registration Deadline August 18, 2008)
Pasadena, TX - September 8 - 13, 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 18, 2008)
Fresno, TX, - September 15 - 16, 2008 - Axxiom Mfg. 11927 So. Hwy 6 -
www.axxiommfg.com Offering Applicator Train-the-Trainer Program (September 15 - 16)
(Registration Deadline August 25, 2008)
Cincinnati, OH - September 15 - 16, 2008 - General Polymers (145 Cardwell Drive) -
Offering Floor Coating Basics
(Registration Deadline August 25, 2008)
Orlando, FL - September 15 - 20, 2008 - Location: To Be Determined
www.ct.gov/dot/ Offering Bridge Coating Inspector Program (BCI)
(Registration Deadline August 25, 2008)
Norfolk, VA - September 20, 2008 - Virginia Materials, Inc. (3306 Peterson Street) (*Modified* Abrasive Blasting Program (C-7) 1 day course) - Sponsored by: SSPC Hampton Roads Chapter
Offering Abrasive Blasting Program (C-7)
(Registration Deadline August 30, 2008)
Bessemer, AL - September 22 - 26, 2008 - Vulcan Painters, Inc. 2400 Woodward Road -
www.vulcan-group.com Offering Fundamentals of Protective Coatings (C-1)
(Registration Deadline September 1, 2008)
Kent, WA - October 6 - 10, 2008 - Long Painting Company (21414 68th Ave S) -
Offering Managing Coatings Projects (C-2) (October 6 - 10) (five day course), and Protective Coatings Specialist (PCS Exam) (October 11) (1 day)
(Registration Deadline September 15, 2008)
Annapolis Junction, MD - October 6 - 10, 2008 - Greenman Pedersen, Inc., 10977 Guilford Rd -
www.gpinet.com Offering Fundamentals of Protective Coatings (C-1)
(Registration Deadline September 15, 2008)
Cheaspeake, VA - October 13 - 14, 2008 - Rapid Deployment Systems - 2001 Old Greenbrier Rd, Ste B -
Offering Airless Spray Basics (C-12)
(Registration Deadline September 22, 2008)
Cincinnati, OH - October 13 - 14, 2008 - General Polymers (145 Cardwell Drive) -
Offering Floor Coating Basics
(Registration Deadline September 22, 2008)
Norfolk, VA - October 13 - 17, 2008 - Sherwin Williams Norfolk Industrial Park - (1373 Ingleside Rd) -
Offering NAVSEA Basic Paint Inspector (NBPI)
(Registration Deadline September 22, 2008)
Norfolk, VA - October 18, 2008 - Virginia Materials, Inc. (3306 Peterson Street) (*Modified* Abrasive Blasting Program (C-7) 1 day course) - Sponsored by: SSPC Hampton Roads Chapter
Offering Abrasive Blasting Program (C-7)
(Registration Deadline September 27, 2008)
Seattle WA - October 20 - 21, 2008 - Todd Pacific Shipyards - (1801 16th Ave. SW) -
Offering Quality Control Supervisor (QCS)
(Registration Deadline September 29, 2008)
St. John's, Newfoundland and Labrador, Canada - October 20 - 24, 2008
- College of the North Atlantic, Prince Philip Drive Campus -
http://www.cna.nl.ca/ Offering Fundamentals of Protective Coatings (C-1)
(Registration Deadline September 29, 2008)
Garland, TX - October 20 - 25, 2008 - Sherwin Williams 2810 West Miller Road-
http://www2.sherwin-williams.com Offering Concrete Coating Inspector Program (CCI)
(Registration Deadline September 29, 2008)
Bessemer, AL - November 3 - 8, 2008 - Vulcan Painters, Inc. 2400 Woodward Road -
www.vulcan-group.com Offering Protective Coatings Inspector Program (PCI)
(Registration Deadline October 13, 2008)
Annapolis Junction, MD - November 3 - 8, 2008 - Greenman Pedersen, Inc., 10977 Guilford Rd -
www.gpinet.com Offering Managing Coatings Projects (C-2) - 5 Days / 40 Hours, and PCS - Protective Coatings Specialist (1 day exam Nov 8)
(Registration Deadline October 13, 2008)
St. Petersburg, FL - The Heritage Hotel 234 3rd Ave North
www.theheritagehi.com Offering Bridge Coating Inspector Program (BCI)
(Registration Deadline October 13, 2008)
Bloominton, MN - November 6 - 7, 2008 - Sponsored by: SSPC North Central Region Chapter at the Holiday Inn Select & Suites
Offering QCS - SSPC Quality Control Supervisor Course
(Registration Deadline October 16, 2008)
Cheaspeake, VA - November 10 - 14, 2008 - Rapid Deployment Systems - 2001 Old Greenbrier Rd, Ste B -
Offering Marine Coatings Sponsored by: SSPC Hampton Roads Chapter
(Registration Deadline October 20, 2008)
Pittsburgh, PA - November 11 - 12, 2008 - SSPC Headquarters (40 24th St 6th Fl) -
Offering Airless Spray Basics (C-12)
(Registration Deadline October 21, 2008)
Norfolk, VA - November 15, 2008 - Virginia Materials, Inc. (3306 Peterson Street) (*Modified* Abrasive Blasting Program (C-7) 1 day course) - Sponsored by: SSPC Hampton Roads Chapter
Offering Abrasive Blasting Program (C-7)
(Registration Deadline October 25, 2008)
Sioux Falls, SD - December 8 - 9, 2008 - Maguire Iron, Inc. 300 W. Walnut -
Offering Applicator Train-the-Trainer Program
(Registration Deadline Nov 17, 2008)
Norfolk, VA - December 13, 2008 - Virginia Materials, Inc. (3306 Peterson Street) ( C7 recert) -
Offering C-7 Dry Abrasive Blaster Certification Program (Recertification)
(Registration Deadline November 22, 2008)
Course Selection* Ensure the course you select below is offered at the location selected above. No location needed for eCourse Registrations.
 
Member
Non-Member
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
Fundamentals of Protective Coatings (C-1) - 5 Days / 40 Hours, Includes Course Exam - Credits: 3.8 CEU's $795 $995
(C-1) (Course Exam Only) Fundamentals of Protective Coatings $150 $250
(C-1eCourse) Online Computer Course Fundamentals of Protective Coatings $495 $695
Managing Coatings Projects (C-2) - 5 Days / 40 Hours, Includes Course Exam - Credits: 3.8 CEU's $795 $995
(C-2eCourse) Online Computer Course Specifying and Managing Coatings Projects $495 $695
Lead Paint Removal (C-3) - 4 Days / 32 Hours, Includes Course Exam - Credits: 3.0 CEU's $795 $995
Lead Paint Removal Refresher (C-5) - 1 Day / 8 Hours, Includes Course Exam - Credits: 0.8 CEU's $250 $350
Abrasive Blasting Program (C-7) - 2 Days / 16 Hours, Includes Written Exam and Hands-On Skills Assessment - Credits: 0.6 CEU"s $325 $425
Abrasive Blasting Program (C-7) Recertification $250 $350
Floor Coating Basics - 2 Days / 16 Hours (Includes Course Exam) - Credits: 1.5 CEU's $495 $695
Concrete Coating Inspector Program (CCI) - Certification Level: Course, Course Exam, Intensive Training and Certification Exam (6 days) - Credits: 4.5 CEU's $1445 $1645
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 $895 $1095
Concrete Coating Inspector Program (CCI) - Certification Intensive Training & Exam Only (2 days) - Credits: 1.5 CEU's $550 $750
Concrete Coating Inspector Program (CCI) - Course Exam Only (1 day): (Includes exam and student manual) $100 $150
Airless Spray Basics - 2 Days/16 Hours, includes Written Exam & Hands-on Skills Assessment - Credits: .6 CEU's $595 $795
Water Jetting Program (C-13) - 2 Days / 16 Hours (Includes Written Exam and Hands-on Skill Assessment) $495 $695
BCI - Level 1: Bridge Coating Inspector Program (BCI) - 3 Days plus 1 Day Certification Exam Credits: 3.0 CEU's $895 $1095
BCI - Level 2: Bridge Coating Inspector Program (BCI) - 3 Days, Course, Course Exam plus 1 Day Certification Exam, Credits: 3.0 CEU's $1045 $1445
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) $250 $450
PCI - Level 1: PCI Basic Inspector: Course, Course Exam (5 days) $895 $1095
PCI - Level 2: PCI Certified Inspector: Course, Course Exam and Certification Exam (6 days) Credits: 4.5 CEU's $1045 $1445
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) $250 $450
(PCS Exam) Protective Coatings Specialist $400 $600
Note:Click here to view SSPC's requirements for taking PCS Exam. Close the window when done to return to this form
NAVSEA Basic Paint Inspector (NBPI) (5 days) $895 $1095
Marine Coatings 5 Days /40 Hours: (Includes Written Exam & Hands-on Skills Assessment) $795 $995
Marine Plural Component Program (MPCAC - C-14) $495 $695
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
QCS: SSPC QP Quality Control Supervisor Course $495 $695
Plural Component Basics $495 $695
Lead Paint Worker Safety $call for pricing $call for pricing
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)

Training Course Publications:
* You can purchase the publications below at a discounted rate only ** if you are registered for the 4 or 6 day C-11 or 4 day Bridge inspection course**) Click the checkbox next to the book that corresponds to the course that you have registered for.
BCI Level 1: The Inspection of Coating and Linings, Item #03-14 $70.00
C-11 Cert or Tech Level course: Surface Preparation and Coating of Concrete, Item #04-03 $40.00
C-11 Cert or Tech Level course: Fundamentals of Cleaning and Coating Concrete, Item #cd-08 $75.00

Select A Payment Option:

 
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Expiry Date:

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

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.