CSWIP LOG BOOK AND RUBBER STAMP

Please note that a log book will be a mandatory requirement at the time of your
next renewal - so if you do not already have a CSWIP log book it is strongly
recommended that you purchase one
The Welding Institute is pleased to offer all current CSWIP certificate holders a self-inking rubber
stamp, to be used to publicly demonstrate your level of qualification(s) on relevant documentation.
The stamp will display your name, candidate number and level of qualification(s).

The price of a log book is £25 and the price of a rubber stamp is £37, BUT AS A SPECIAL OFFER YOU
CAN PURCHASE BOTH 1 LOG BOOK AND 1 RUBBER STAMP FOR THE DISCOUNT PRICE OF £50.
Please return this form to: The Certification Administrator, TWI Certification Ltd, Granta Park, Great Abington,
Cambridge, CB21 6AL, UK

Please tick which you require:

 Log book only  Rubber Stamp only  Log Book and Rubber Stamp
 Further stamps Please indicate method (s)

FULL NAME:

DATE OF BIRTH:

NAME THAT YOU WISH TO APPEAR ON THE STAMP:

ADDRESS:

CSWIP CERTIFICATE NUMBERS:

CONTACT TELEPHONE NO:

CONTACT FAX NO:
CONTACT EMAIL ADDRESS:
SIGNED: DATE:

Cheque to be made payable to TWI or if you wish to pay by credit card kindly complete below:
If paying by Credit Card please quote card number, expiry date and security code no:

___________________________________________________ EXPIRY DATE ______________

Last 3 digits of Security Code on reverse of card _________

SWITCH ONLY ISSUE NO: _________ START DATE: ___________

DAC/CSWIP/S735/JANUARY 2010