BGAS LOG BOOK AND/OR RUBBER STAMP

The Welding Institute is pleased to offer all current BGAS 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 £36.00 (including VAT) and the price of a rubber stamp is £48.00 (including VAT),
BUT AS A SPECIAL OFFER YOU CAN PURCHASE BOTH 1 LOG BOOK AND 1 RUBBER STAMP FOR
THE DISCOUNT PRICE OF £72.00 (INCLUDING VAT). 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
FULL NAME:

DATE OF BIRTH:

NAME THAT YOU WISH TO APPEAR ON THE STAMP:

ADDRESS:

BGAS CERTIFICATE NUMBERS:

METHODS REQUIRED ON STAMP

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 _________ EXPIRY DATE: ______________

SWITCH ONLY ISSUE NO: _________ START DATE: ________________

Please return this form to: The Certification Administrator,

TWI Certification Ltd, Granta Park, Great Abington, Cambridge, CB21 6AL, UK

CSWIP/S808/JANUARY 2012