IAgrE

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IAgrE Membership Application Form

For a fast application for Affiliate, please fill in the form below. The amount payable will be £80 (for current year subscription to 31 December). For any other grade of membership, or to request further details of any grade, please contact Alison.

Title

First Name

Last Name

Date of Birth

E-Mail Address 1

E-Mail Address 2

Address One

Address Two

Address Three

Address Four

Address Five

Postcode

Country

Home Telephone

Work Telephone

Employer

Interest in agricultural, land or associated engineering

Do you have academic qualifications or relevant experience which may entitle you to a higher grade of membership?

Interest in agricultural, land or associated engineering Do you have academic qualifications which may entitle you to a higher grade of membership?

Billing Details

First Name

Last Name

Address One

Address Two

Town

County

Country

Postcode

Terms and Conditions

Data Protection
I understand and consent to the information provided on this form being processed by the IAgrE for its sole use (including my Local Branch), for the purpose of promoting, delivering and improving my experience of the IAgrE and its products and services or such other purposes as are described in the IAgrE Privacy Statement and Disclaimer. I give my permission for IAgrE to access my information for management, administration and registration purposes. I confirm that I wish to receive notification (by post or electronic means) of IAgrE products, events and services which may be of interest and benefit to me.

Declaration
I declare that the statements made on this form are to the best of my knowledge true. I agree to comply with the Memorandum and Articles of Association, and associated Regulations of the Institution of Agricultural Engineers (IAgrE). I understand that this is a commitment to behave ethically within my profession. I will do my best to promote the interests of the IAgrE. I confirm that I have not committed any offence of which the IAgrE would require me to give notice under its Rules of Conduct. The Rules of Conduct, Memorandum and Articles of Association, and associated Regulations are published on the website www.iagre.org

Please tick the box to confirm you have read and accepted the Terms & Conditions