CBSPD *SECURE*
Certification Verification

Please note that the certificant must bring the ORIGINAL CBSPD, Inc. certification certificate to you first. Then for further verification, you can do so by the following:
  1. Verbal Verification by Phone - free of charge. Call our office at 1.908.236.0530 (9:30-5:30 Eastern Time, M-F).
  2. Formal Verification Letter (with official CBSPD, Inc. Stamp of Approval) - $10/each name. This can be faxed or mailed. Payment is by Credit Card only (see below).

MEMBER INFORMATION FOR VERIFICATION
This is for written verification only (required payment)

* = Required

In the big box below, please include the following for each CBSPD certified member:

*Member Name/Last 4 Digits of SS#/Title (Tech, Supervisor, Manager, SPD Management, Instrument Processor, Instrument Specialist, Ambulatory Surgery Tech, Flexible Endoscope Reprocessor):
   


*How do you want this sent to you?

U.S. MAIL FAX


Your Information:

*Name: 

*E-mail Address: 

FAX #: 

Full Address:

*CREDIT CARD

Visa
Mastercard
Discover
American Express

*Person's Name on Card: 

*Card Number:

*Expiration Date: 

*Security Code on the Card: 

*Credit Card Billing Address:

 




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