Request edit access
SPPEEx Membership Application
Job Title (If Applicable)
Institute / Company / Organisation (If Applicable)
Location (City / Country)
Contact Phone number
Nationality / Ethnicity / Iwi
Engineering Field of Interest / Specialisation
Years of Experience
Less than 4 years
Briefly state your 5-year goals.
Are you looking for a SPPEEx mentor?
Are you interested in being a Mentor to another member?
Yes, I’d like to be a member of SPPEEx and I agree to the Terms & Conditions of Membership
General Membership: Annual Fee of $50
Student Membership: FREE (Must provide copy of Student ID with application. Email to
Terms & Conditions:
• Membership is considered confirmed and active upon receipt of the annual membership fee.
• Membership with SPPEEx will automatically roll over into a new subscription year and a member shall remain a member unless written notice of resignation signed by the member is received and payment for any outstanding subscriptions or invoices due is made.
• No refunds can be made for resignations made part way through the subscription year.
• Members resigning after commencement of the next subscription year are liable for subscriptions for the first day of the new subscription year until the date the written notification of resignation is received.
• The subscription year commences 1st January and ending 31st December of each year.
• Any member whose annual subscription has not been paid by 1st July shall be regarded as in "Arrears of subscription" and the member's rights of membership shall be suspended until the arrears have been paid.
• No Member details will be shared with any other 3rd party.
SPPEEx, ANZ Bank, Newmarket
Please note Surname & Initials as the Reference
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service