• SHPE Lifetime Member Form

  • Who is the Lifetime Membership for?

  • Lifetime Membership Options*

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    Lifetime Professional. Open to all STEM professionals who hold an engineer-in-training certificate or a bachelor’s degree in science, technology, engineering, or math, and who are willing to pay this one-time-only membership cost. There is a payment plan option available for Lifetime Memberships. The membership becomes active once payment has been received in full.
    Lifetime Professional

    Open to all STEM professionals who hold an engineer-in-training certificate or a bachelor’s degree in science, technology, engineering, or math, and who are willing to pay this one-time-only membership cost.


    There is a payment plan option available for Lifetime Memberships. The membership becomes active once payment has been received in full.

    $1,000.00$1,000.00
      
    Lifetime Associate. Open to non-STEM professional or student who support the SHPE Mission and who are willing to pay this one-time-only membership cost. There is a payment plan option available for Lifetime Memberships. The membership becomes active once payment has been received in full.
    Lifetime Associate

    Open to non-STEM professional or student who support the SHPE Mission and who are willing to pay this one-time-only membership cost. 


    There is a payment plan option available for Lifetime Memberships. The membership becomes active once payment has been received in full.

    $800.00$800.00
      
    Total
    $0.00$0.00

  • Gift a Lifetime Membership

  • This form will ask for basic payment logistics from each person sponsoring the membership — please submit one form per sponsored Lifetime Member, regardless of the number of sponsors. Only submit it once you have a pledge totaling $1,000 for Professional Lifetime Membership and $800 for Associate Lifetime Membership.

    The first installment must be paid for the person receiving the LM gift to receive their pin onstage during the Lifetime Member Reception at National Convention.

  • Would you like this Lifetime Membership to be a surprise?*

  • Information for Person Receiving the Lifetime Membership Gift

  • Format: (000) 000-0000.

  • Lifetime Membership Contributors

  • Payee 1 Information

  • Format: (000) 000-0000.
  • How will Payee 1 pay?*
  • Payee 1 Payment Options*
  • Is a second person paying a portion of the fund?

  • Payee 2 Information

    (If Applicable)
  • Format: (000) 000-0000.
  • How will Payee 2 pay?
  • Payee 2 Payment Options
  • Is a third person paying a portion of the fund?

  • Payee 3 Information

    (If Applicable)
  • Format: (000) 000-0000.
  • How will Payee 3 pay?
  • Payee 3 Payment Options
  • Is a fourth person paying a portion of the fund?

  • Payee 4 Information

    (If Applicable)
  • Format: (000) 000-0000.
  • How will Payee 4 pay?
  • Payee 4 Payment Options
  • Is a fifth person paying a portion of the fund?

  • Payee 5 Information

    (If Applicable)
  • Format: (000) 000-0000.
  • How will Payee 5 pay?
  • Payee 5 Payment Options
  • Are more than 5 people paying for this membership?

  • Please submit an additional form with the information for the remaining contributors. As an extra step, please let the Membership Team know in advance at membership@shpe.org 

  • Lifetime Member Registration (Self)

  • This form is for those registering themselves as a Lifetime Member. The first installment must be paid in order for you to receive your pin onstage during the Lifetime Member Reception at National Convention.

  • Format: (000) 000-0000.
  • Would you like to receive the Lifetime Member pin in the mail or receive it at the Lifetime Member reception at National Convention?*
  • How do you plan to pay?*
  • Payment Options*

  • You’re almost ready to make this Lifetime Membership official!

    Please review the information you’ve provided and complete the remaining steps to submit your form. If you have any questions or need assistance, please reach out to membership@shpe.org.
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