APPLICATION FOR MEMBERSHIP  OF THE PROFESSIONAL ENGINEERS' CLUB (EXETER)

You must enter something in each box, except for the 3 address lines and two gift aid check boxes which are optional.

The form creates a draft email in your mail software, ready for sending to the secretary. Address fields 1,2,3 are not required (for your security). If you prefer to use a pdf or Word form these can be downloaded from the home page.

The treasurer will contact the potential member regarding arrangements for payment of subscription (£30 in 2021). Membership will be free while meetings are online.

Application Form for: 

Name: 

Address line 1: 

Address line 2: 

Address line 3: 

Post Code:

Telephone: 

E-Mail : 

Professional Qualifications/Awards:

Principal Career Activity/Industry:

Hobbies/Interests:

Please note that information from this Form will be used when compiling our Members’ Information Book, which will be distributed to Members. Members will also be asked if they wish their spouse/partner name included  in the MIB. 

I may be prepared to deliver to Club Members:

A formal presentation (40-60 mins) on the following subjects:

An impromptu presentation (15-20 mins) on the following subject(s):

I would like to join the Professional Engineers’ Club - Exeter and agree to abide by its Constitution.

I agree to the Professional Engineers’ Club using my data as above in accordance with the Data Privacy Notice attached to this Application.

If you are a UK taxpayer, paying income tax of capital gains, you can make your subscription* worth 25% more at no extra cost to you. All you have to do is check the boxes below. *The annual subscription is £30 and falls due on 1 April. For new members joining part way through the year the subscription payable will be reduced pro-rata. 

 I want to Gift Aid my donation to the Professional Engineers’ Club - Exeter for this year and subsequent years.

 I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid Claimed on all my donations it is my responsibility to pay any difference.

Signed (print name): 

Date (DD/MM/YYYY):  

Please notify us if you want to cancel this declaration, change your name or home address, no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

To create/send an email addressed to the club secretary please click on the send button below. Please check your input before sending.