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FCIA IN ABU DHABI Registration Form - FM or UL Firestop EXAM ...

FCIA IN ABU DHABI Registration Form - FM or UL Firestop EXAM ...

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<strong>FCIA</strong> <strong>IN</strong> <strong>ABU</strong> <strong>DHABI</strong><br />

<strong>Registration</strong> <strong>F<strong>or</strong>m</strong> - <strong>FM</strong> <strong>or</strong> <strong>UL</strong> <strong>Firestop</strong> <strong>EXAM</strong><br />

FIRESTOP <strong>EXAM</strong> REVIEW & TEST<strong>IN</strong>G<br />

18 October 2010 ~ 0900—1600<br />

LOCATION TBD<br />

Company Name: _______________________________<br />

Attendee #1 ___________________________________ Email: _______________________________________<br />

Attendee #2 ___________________________________ Email: _______________________________________<br />

Address ____________________________________________ City ___________________________________<br />

<strong>FCIA</strong> MEMBER FEES<br />

Seminar <strong>Registration</strong> Fee $175.US x___=______<br />

(IF NOT ALREADY REGISTERED)<br />

<strong>FCIA</strong> Manual of Practice $295.US x ___ = _____<br />

(+ approx. $160.US shipping, 5-day delivery)<br />

<strong>FM</strong>/<strong>UL</strong> <strong>Firestop</strong> Exam Review FREE x___=______<br />

<strong>FM</strong> <strong>Firestop</strong> Exam<br />

$610.US x___=______<br />

<strong>FM</strong> <strong>Firestop</strong> Exam Renewal $300.US x___=______<br />

<strong>UL</strong> <strong>Firestop</strong> Exam<br />

$450.US x___=______<br />

NON MEMBER REGISTRATION FEES<br />

Seminar <strong>Registration</strong> Fee $350.US x___=______<br />

(IF NOT ALREADY REGISTERED)<br />

<strong>FCIA</strong> Manual of Practice $895.US x ___=______<br />

(+approx. $160.US shipping, 5-day delivery)<br />

<strong>FM</strong>/<strong>UL</strong> <strong>Firestop</strong> Exam Review $295.US x___=______<br />

<strong>FM</strong> <strong>Firestop</strong> Exam<br />

$610.US x___=______<br />

<strong>FM</strong> <strong>Firestop</strong> Exam - Renewal $300.US x___=______<br />

<strong>UL</strong> <strong>Firestop</strong> Exam<br />

$450.US x___=______<br />

TOTAL $____________ (US $)<br />

Payment Options — must be received pri<strong>or</strong><br />

to testing<br />

Check - payable to <strong>FCIA</strong>, mail to:<br />

4415 W. Harrison, Suite 436,<br />

Hillside, IL 60162<br />

Credit Card - fax to: 708-449-0837<br />

Card<br />

#__________________________________<br />

(Please print clearly!!)<br />

EXP DATE ___/___<br />

Cardholder______________________________<br />

Billing Address (Street No.only)____________<br />

Postal Code ____________________<br />

<strong>FCIA</strong>, along with <strong>FM</strong> Approvals, Underwriters Lab<strong>or</strong>at<strong>or</strong>ies and International Accreditation<br />

Services, brought <strong>FM</strong> 4991 Approval, <strong>UL</strong> Qualification and AC 291 Special Inspection<br />

Agency Accreditation to the firestopping industry. Here is a quick outline of how to<br />

achieve <strong>FM</strong> Approval, <strong>UL</strong> Qualification <strong>or</strong> AC 291 Inspection Agency Accreditation status:<br />

Order the Manual of Practice, written by <strong>FCIA</strong> members. As an <strong>FCIA</strong> member, you will save $600.US on the<br />

Manual of Practice!<br />

Study the <strong>FCIA</strong> MOP and take the <strong>FM</strong> <strong>or</strong> <strong>UL</strong> <strong>Firestop</strong> Exam, (Designated Responsible Individual) .<br />

Take review pri<strong>or</strong> to testing is FREE to <strong>FCIA</strong> members- $295.US savings.<br />

Pass the <strong>FM</strong>/<strong>UL</strong> <strong>Firestop</strong> Exam test with an 80% <strong>or</strong> better.<br />

Write a management systems manual f<strong>or</strong> your firm. (<strong>FCIA</strong> Sample Manual f<strong>or</strong> members…upon request.)<br />

Have your firm’s management system audited by <strong>FM</strong> Approvals/Underwriters Lab<strong>or</strong>at<strong>or</strong>ies/International<br />

Accreditation Services.<br />

Jobsite is visited to verify quality process results in systems installed to <strong>UL</strong>, <strong>FM</strong> system listing.<br />

PASS the Audit, get posted to <strong>FCIA</strong>.<strong>or</strong>g special pages!<br />

Please email Angie Sims, <strong>FCIA</strong>, angies@fcia.<strong>or</strong>g f<strong>or</strong> contacts at <strong>FM</strong> Approvals, <strong>UL</strong> and IAS to request on-site audit.

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