Return to public pages

Norwich Engineering Society


Application for NES Membership

Please Note: All fields marked with a * must have some entered characters in them before the form data will be accepted on clicking the 'Submit Data' button.

Please enter your surname *
Now your firstname *
Finally any middle initials
First line of your postal address *
Second line of your postal address(if any)
Third line of your postal address(if any)
Town or City
Your Postcode *
Your telephone number (please include the area code )
Your email address
Your date of birth in format dd-mm-yyyy *
Qualifications e.g.BEng
Your engineering interests
Membership of Professional Bodies
Your Grandmother's maiden surname * - see % below

% This last element is to assist you when amnesia strikes and you have forgotten your username and/or your password. In either case you will be asked to fill in a simple form that will include the answer to this final question. If you wish to use a fictitious name that is your choice; in which case it is entirely your responsibility to remember it!