Application for RPI Stamp


American Inspection Society RPI Stamp Application

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Mail to:

American Inspection Society
11219 Evensong Lane
Cypress, TX 77429-2580

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IMPRINT Name:________________________________

Address:_________________________________

C/S/Z:___________________________________

Contact phone:__________________

Best time to call you:_____________
(This is for consideration of those nightshift inspectors.)
Diameter of stamp 1"_- 1-1/4"__ Ink color Red __ Blue __Black __
The Registered Professional Inspector (RPI) Stamp is to be used for documentation authenication purposes ONLY and is soley my responsibility.

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Signature *Active Member IMPRINT Number* Date


Mail application with attached Check or money order made out to: American Inspection Society. See return address above.

Payment: $29.50 check/money order shipping handling included

Please allow 3 to 4 weeks to receive your stamp.

Shipping fees for foreign addresses from USA domain may be slightly higher.

Contact Treasurer for more information. Email or phone.

Reference link below.

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This form revised in part on: 03-07-11.
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