USRSA Certification Program

Certification Application

Preparing for the USRSA Certification Test

If you have any questions, e-mail or phone Jonathan Wolfe at 760-536-1177, extension 12.

This is your application to test for Master Racquet Technician or Certified Stringer designation. USRSA certification is designed to offer a powerful competitive advantage to a knowledgeable racquet service professional. Only current members who maintain their certified status will be listed on the USRSA website for consumers looking for stringers.

Please complete the following questions as applicable and return to: United States Racquet Stringers Association, 330 Main Street, Vista, CA 92084. Questions? Contact the USRSA at 760-536-1177 or fax us at 760-536-1171.

Name: __________________________________________________

Address: __________________________________________________

City: __________________________________________________

State: __________________________________________________

ZIP: __________________________________________________

Home phone: __________________________________________________

Work phone: __________________________________________________

Fax: __________________________________________________

E-mail address: __________________________________________________

IMPORTANT: Professional stringing machines will be available at each test site. We recommend you contact your tester before the test to see if you are comfortable working on the machines they have available. If you are not comfortable working on one of their machines, you may bring your own professional-model stringing machine with prior approval from the USRSA.

Please specify the test, date and test location for which you're applying. Private testing is available. (Please schedule a mutually convenient date with tester prior to submitting application):

____MRT         ____CS         ____Upgrade (CS to MRT)

TESTER:_________________ DATE:___/___/_____ LOCATION:___________________

The information in the Supplemental Study Guide is covered in the exam. Have you accessed it from the USRSA website?_____ Yes _____No

PAYMENT OPTIONS (Check below):

First time test -- MRT and Certified Stringer

_____Current USRSA member (testing fee $150) ____Enroll me as a USRSA member ($119/yr.) _____Non-USRSA member (testing fee $250)

Upgrade to MRT from USRSA Certified Stringer

_____Current USRSA member (testing fee: $80) _____Enroll me as a USRSA member ($119) _____Non-USRSA member: (testing fee $180)

NOTE: International applicants will be charged an additional $30 for shipping and handling.

NOTE: 10% discount available to two or more from same shop or club testing at same time/site.

PAYMENT TYPE (Check one): _____Check enclosed _____ Visa/MasterCard

VISA/MC #______________________________________ EXP. DATE:__________

CARDHOLDER'S NAME:___________________________________

* Your test fee must be paid in full and your application must be received at USRSA headquarters at least THREE weeks prior to the test date.

APPLICANT'S SIGNATURE:___________________________________

This above signature acknowledges that the information given is accurate. Intentional misrepresentation may void your Certification status without refund or obligation by the USRSA.

PLEASE NOTE: Before you can be approved for Certification testing, the following requirements MUST be fulfilled.

CANCELLATION POLICY: You must provide USRSA with one week notice of cancellation. Failure to do so will result in forfeiture of 50% of test fees. Failure to notify the USRSA 24 hours prior to testing will result in total forfeiture of test fees.

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