International Playground Contractors Association (NPCAI) Membership & Qualified Contractors Application

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Organization Name__________________________________________________________________________________

Mailing Address_____________________________________________________________________________________

City______________________________________________ State________________  Zip ________________________ 

Telephone_____________________________________________ Toll Free_____________________________________

Fax ________________________________ E-mail _________________________________________________________

Website____________________________________________________________________________________________

Business Type:            ____  Sole Proprietor     ____  Corporation   _____  Partnership

Are you licensed to do business in your City/State?       ____  Yes     _____   No 

Names & Emails of Owner(s), Partners(s), or Officer(s) of Organization________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Names & Emails of persons authorized to represent your Organization with NPCAI _______________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Membership Level:      

• General Membership   ________ $250.00 (annually)  (Playground Contractors, Installers, Sub-contractors, Playground Safety Inspectors, Insurance Underwriters, etc.) Offer basic listing and listing basic listing on website, alpha listing in  Directory and Buyer’s Guide member access to website, limited discount on playground construction school (5), and full access to membership benefits.               
• Manufacturers Membership ________$900.00 (annually) (Industry Related, Suppliers, Fabricators, etc.)  Manufacturing membership offers listing in manufacturing, full access on website, Directory and Buyer’s Guide listing and unlimited discounts on the Playground Construction School and full access to membership benefits.

            Program Type: 

•  Qualified Playground Contractor ________ $350.00 (annually) (must be a member to participate in this program & include license*s) in states that you service in. (must be a member to participate in this program & include license, insurance, and NPSI certificate) copies are required.  Offers Qualified Playground Contractor listing with use of logo and listing under website for Qualified Contractors with section of Qualified Playground Contractor in member’s directory  and Buyer’s Guide, (10) discounts on the Playground Construction School and full access to membership benefits.

State(s) Licensed in:  (must be current)  _______, _______, _______, _______, _______, _______, _______, _______,

_______,_______,_______,_______,_______,_______,_______,_______,_______,_______,_______,_______,_______,

Please submit this application with the following (all items must be received before qualified contractor status can be achieved)

Copies are required and must be current.

• Application Fee
• Copy of Liability Insurance Certificate
• Copy of Workers Compensation Certificate
• Copy of National Playground Safety Institute (NPSI) certification
• Copy of Applicable Contractors Licenses for states listed above if required
• Listing of certification programs completed for independent playground manufacturers
• Business Card and Letterhead on file
• Photographs and detailed (address, telephone #’s, and contact) site listing of three current jobs 

What type or style of equipment does your organization typically work with. (in-ground field structures, soft modular,

residential wood units, aquatic playgrounds, safety surfacing, etc.)?

Please list______________________________________________________________________________________

 ______________________________________________________________________________________________

Do you sell playground equipment?      □ Yes (if, yes which manufacturers?)       □  No

 ____________________, ____________________, ____________________, ___________________, ____________

How many play structures has your organization constructed in the past 12 months? ___________________

Are you willing to serve on an association committee?    □   Yes      □  No

Are you willing to serve on the Board of Directors?      □  Yes      □   No

As a supporter of the NPCAI, what are the biggest concerns about the playground industry facing your organization?

1. _______________________________________________________________________________________
2. _______________________________________________________________________________________
3. _______________________________________________________________________________________

I hereby make application for a membership in the International Playground Contractors Association on the basis of

the foregoing statements. I certify that the foregoing statements are correct. I will support the mission statement of the

International Playground Contractors Association as long as I continue as a member. Member’s dues are per

calendar year, payable in advance. Cancellation of membership requires written notice within 10 days of renewal.

We do accept Visa and MasterCard for payment and a $3.95 processing fee is applied.

Payment Method:

□   Check  # _____________________  □   Credit Card # __________________________________  Exp: __________

Firm Name ______________________________________________________________________________________

Name _________________________________________________  Title_____________________________________

Signature ______________________________________________ Date _____________________________________

For a twelve month membership, enclose checks payable to NPCAI: 

We do accept Canadian checks.

 International Playground Contractors Association (NPCAI)

Post Office Box 2364, Salt Lake City, Utah 84110-2364

Toll Free: 1-888-908-9519 · Fax: 801-355-2788

E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it  

 Web: www.playground-contractors.org