CIC-IES Member Information Update
Name (First/M.I./Last)
*
Company Name
Address Location
Work
Home
Address
City
State/Zip
Work Phone Number
Work Fax Number
E-mail
*
Membership Grade
<Select One>
Professional Engineer
PE - Retired Member
PE- Life Member
PE - Land Surveyor
EIT - 30 Years of Age & Over
EIT - Under 30 Years of Age
NON-EIT - 30 Years of Age & Over
NON-EIT - Under 30 Years of Age
Associate - Retired Member
Senior Associate
Student
Specialty Areas
<Select One>
Aerospace
Agricultural
Architectural
Chemical
Civil
Computer
Electrical
Electronics
Environmental
Fire
Forensics
Geotechnical
Industrial
Materials
Manufacturing
Mechanical
Mining
Nuclear
Petroleum
Pollution
Quality
Reliability
Structural
Welding
Other
* Required fields
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