Company name:

Company Address:

Company Post Code:

Main Telephone No':

Main Fax No':

Main Email:

Business Sector:

Name of Parent/Holding Company & Country of Registration (if any):

Basic Membership

Total number of employees:

                Select Membership Services  Not  Required

                       You must take at least one of the following

Routine correspondence should be addressed to: 

   Name:

  Position:

  Direct Telephone No':

  Direct Fax No':

  Direct Email:

Chief Executive's correspondence should be addressed to: 

  Name:

  Position:

  Direct Telephone No':

  Direct Fax No':

  Direct Email:

Health, Safety & Environment correspondence should be addressed to: 

  Name:

  Position:

  Direct Telephone No':

  Direct Fax No':

  Direct Email:

Lifelong Learning correspondence should be addressed to: 

  Name:

  Position:

  Direct Telephone No':

  Direct Fax No':

  Direct Email:

We agree to comply with the Constitution of Scottish Engineering and in particular to give six calendar months written notice in the event of resignation or withdrawal from services. We also agree to submit a Mandate for the payment of annual fee by Direct Debit.

Please note: your application will go forward to and be subject to approval by, the Scottish Engineering Executive Committee.

          Name:

Position:

Direct Telephone No':

Direct Fax No':

Direct Email:

Date: