<<<APPLICATION FOR PIC MEMBERSHIP
You can contact PIC for more information at: webmaster@PICanInspector.com
>>>
<<<
Please Type or Print Clearly
Name: _____________________________________________________________
TREC Professional Inspector License # __________ Professional Registered Engineer # __________
Pest Control License # _________
Years in business: _______ Approximate number of completed property inspections: ___________
Number of inspectors engaged in full or part time work for this company: ________
Company Name: _______________________________________________________________________
Address: _________________________________ City: _____________________ Zip: _____________
Phone: ____________________ Fax: ____________________ E-mail: __________________________
Applicant is a member of the following inspection related associations/groups:
1) _________________________________________ 2) _______________________________________
3) _________________________________________ 4) _______________________________________
5) _________________________________________ 6) _______________________________________
Has your TREC license ever been suspended or revoked? ________ (If yes, explain on reverse side)
The foregoing information is true and correct and if furnished herein for the singular and express
purpose of obtaining membership in the Professional Inspectors Coalition. If selected for such
membership, I agree to abide by all the rules and standards of the organization which presently are adopted
as well as those which may be adopted or modified in the future.
I fully understand and agree that should any of the information supplied herein be found to be
false, or should I fail to abide by the foregoing statement which I have freely made, my membership may be
immediately terminated together with any and all rights to which I may be entitled or claim entitlement to.
X _________________________________________ Date: ______________
(Applicant's Signature)
Mail this completed application, and a check in the amount of $400.00 for the one time
application fee of $100 plus the first year's membership dues of $300
(payable to Professional Inspectors Coalition) to:
Profession Inspectors Coalition
12710 New Cypress Dr.
Cypress, Texas 77429