Request edit access
SPPEEx Membership Application
Email *
Full Name *
Job Title (If Applicable) *
Institute / Company / Organisation (If Applicable) *
Location (City / Country) *
Contact Phone number *
Address *
Nationality / Ethnicity / Iwi *
Engineering Field of Interest / Specialisation *
Qualifications/Credentials *
Years of Experience *
Briefly state your 5-year goals.
T-Shirt Size *
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 *
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.
Payment Details:
SPPEEx, ANZ Bank, Newmarket
Account: 06-0158-0294598-00
Please note Surname & Initials as the Reference
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy