Recommend a Member Application Form

‘RECOMMEND A MEMBER’ APPLICATION FORM

Membership No: / Email:
Please select your chosen vouchers: / Marks & Spencers / Amazon
The following section is to be completed by the friend / colleague you are recommending membership to
(Please write clearly in block capitals)
Surname / Title
Forename / Other names
Contact No / Email
Address / Job Title
Employer
Post Code / Date of birth
Do you have any academic or professional qualifications? if yes please provide details
From
(MM/YY) / To
(Mm/YY) / Primary or Principal Qualifications:
Degrees, Diplomas, Certificates
(FT /PT/Sandwich course) / Name of College / University / Date of Award
Declaration by candidate
I, the undersigned, confirm that the above member has recommended I join the Institution of Gas Engineers & Managers and certify that the statements contained herein are true.
Signature of candidate / Date / dd / mm / yyyy

Upon completion of this form Membership Services will send you an application pack for the appropriate grade of membership by email or post and the team will be here to help answer any queries you may have regarding your application. Once you are accepted as a member and you have paid your subscription fees, the IGEM member nominating you will be entitled to claim their voucher. If you would like to contact Membership Services to discuss any aspect of membership then please call +44 (0)1509 678152 or email .

Institution of Gas Engineers & Managers, IGEM House, 28 High Street, Kegworth, Derbyshire, DE74 2DA

P/06/11 – V3