SPRAT - Society of Professional Rope Access Technicians


Membership Form

Fields marked with * are required

Company Title
First Name

*

Middle Name
Nickname Last Name

*

Suffix
Street Address 1

*

Street Address 2
City

*

State/Prov

*

State/Province/Territory
(if Outside US/Canada)
Country

*

Zip/Postal Code

*

Phone

*

Extension
Fax  
Email Address

*

Website

Membership Categories

Indicate for which category you are applying:

Organizational Memberships:

Corporate Membership Annual dues are $950 for the first year and $850 thereafter
Sustaining Membership Annual dues are $350

Individual Memberships:

Associate Membership Annual dues are $100 for the first year and $75 thereafter
Subscribing Membership Annual dues are $100 for the first year and $45 thereafter
Check the box if the billing information on the credit card is different than above.

* SPRAT Member Pledge

  "I agree on behalf of myself and any member organization I represent, to abide by SPRAT Safe Practices for Rope Access Work and SPRAT Certifications Requirements for Rope Access Work."



*Member Name  

Date: 03-27-2017

*By signing your name as the responsible party, you are consenting to the above terms, and agreeing to allow your electronic acceptance as the named signatory become contractually binding for all legal matters contained, and to be executed herein.

If you have any questions, comments or concerns regarding this agreement, please contact a SPRAT representative at Info@Sprat.org, or call the SPRAT office at (USA) 610 - 971 - 4850

Upon submission of this form, you will be routed to a secured payment page through NeliX TransaX to complete your transaction. Please note that your registration. will not be complete until payment is received.