VOID MOD Partner Seminar Registration

1

Rank/Title* This field is required.

2

Please select a date* This field is required.

Tuesday 20th May 11am till 12pm, all welcome

Tuesday 10th June 11am till 12pm, all welcome

3

Full Name* This field is required.

First Name

Last Name

4

Service/Branch* This field is required.

5

Phone Number* This field is required.

Area Code

Phone Number

6

Email Address* This field is required.

example@example.com

7

Are you currently a member of the IET?* This field is required.

Yes

No

8

Are you a member of another Professional Engineering Institution (PEI)?e.g. IMechE, IMarEst, RaES

YESNO

9

Please name the PEI you are currently a member of

10

Data Protection Statement* This field is required.I understand and consent to the information provided on this form being processed by the IET for its sole use and that of its associated organisations for the purpose of promoting, delivering and improving my experience of the IET and its products and services. The IET may disclose the information provided on this form to my employer, upon request, along with the status of my application for membership or professional registration where appropriate. IET Privacy Statement - https://www.theiet.org/help/privacy/

I agree