IGEM

2010 IGEM Membership Census

Welcome to the 2010 IGEM Membership Census. This is being carried out to enable the Membership Department to provide the best possible service to its members.

In order for the Census to be effective we need a high response, so please spare 10 minutes of your time to complete the details.

The closing date is Friday 26th February and anyone completing the Census by this date will be entered into a free draw, where the lucky winner will receive £50.00 in Marks and Spencers vouchers.

Thank you for your assistance and good luck in the draw.

Personal Details

First Name

Last Name
Gender
Male Female
Home Address Details
House Name / Number

Street

Town

County

Postcode

Home Phone

Mobile Phone

Personal E-mail

Your employer / Business details

What is your current job title?

Who is your employer?
Business Address Details
First line

Street

Town

County

Postcode

Business Phone

Mobile Phone

Business E-mail
Please indicate your preferred address for IGEM to distribute correspondence to
Post to home address Post to Business address
For routine enquiries, how do you wish to be contacted?
Which of the following best describes your business?

Membership Details

IGEM Membership Number

If you are registered with the Engineering Council, please provide your Engineering Council Registration Number

If yes to above, what type of registration is applicable?

Events

Please indicate which events you would like to know about

	National Events	Presidential Events
Section Events (please indicate)
	Scottish	North East & Yorkshire
	North West	Midlands	Eastern
	Wales	South West	London & Southern
	Irish	Young Persons Network

Volunteering Your Time

IGEM would not exist without the continued support of members volunteering their own time and effort. Please indicate if you would be willing to assist with any of the following committees, or serve on panels and working groups which report to them.

	Membership		Gas Transmission and Distribution		Gas Utilisation
	Gas Measurement		LNG

Method of Payment

How do you normally pay your subscriptions?

What payment method do you use?
How is your membership fee paid?
* IGEM are currently exploring if member subscriptions can qualify for Gift Aid. If you pay your own subscriptions and you are a UK tax payer, are you happy for IGEM to claim back the basic rate tax paid by you? Yes No

Professional Development Scheme

Initial Professional Development - Do you have a mentor?

Continuing Professional Development - Do you use IGEM's Professional Development Scheme to record evidence of your personal development, involvement in professional institution activities and promotion of engineering for your CPD portfolio. Yes No

Comments

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