Individual Membership Application Form and Online Payment for Band B

Half-rate subscription fees for 1 January 2012 – 30 June 2012

Full individual member	£17.50	Full overseas member*	£14.00
Associate member	£12.00	Student member	£3.75

*Not applicable for those living in locations where there is an SUT Branch (Rio de Janeiro, BR, and Kuala Lumpur, MY)

Only fill in the form if you are paying by credit/debit card. Payments will be taken using PayPal's secure system, and directions on how to pay will be given after submitting the form. If you would like to pay by any other means, please print out and complete the Individual Membership Application Form and post it with payment to SUT Head Office.

To become a Full Individual Member of SUT, you must be any of the following:

• be aged over 21 years AND show a professional interest or experience in the field of underwater technology; be a graduate of a recognised university or hold a diploma from a recognised engineering institution or a qualification of comparable status in a relevant branch of science or technology; OR hold a post of responsibility in the field of underwater technology for not less than five years.

Associate membership offers all the benefits except voting rights, an annual report and a diary. Applicants should:

• be able to show an active interest in the field of underwater technology or in a field of engineering, industry, science teaching or research, connected directly of indirectly with underwater technology.

Student membership offers the same benefits as Associate membership at a special rate. Applicants should:

• be aged over 17 years; be intending to be engaged in the field of underwater technology or in a field of engineering, industry, science or teaching connected directly or indirectly with underwater technology; AND be able to provide confirmation of undergoing full–time education.

Note: If you are a staff member of a company/organisation that is is a Corporate Member of the Society, you can already enjoy all the advertised discounted member rates for meetings and publications.s

*Mandatory fields

Title

Mr     Mrs     Ms     Dr     Prof     Other

First name(s)*

Surname*

Mailing address*

Postcode / Zip*

Country*

Telephone*

Fax

Email*

Date of birth*

Academic/vocational qualifications

Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Month January February March April May June July August September October November December    Year 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920

Current employer*

Employer's address

Telephone

Fax

Email

Date of appointment

Current position

Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Month January February March April May June July August September October November December   Year 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955

Relevant previous employers

Interests

Diving  Environmental forces  Ocean resources  Offshore structures Salvage & Decommissioning  Underwater robotics  Underwater vehicles

Education & training  Marine renewable energies  Offshore site investigation  Subsea systems  Underwater science

Please check all that apply

Specialising in

Membership class*

Full member

Associate member

Full overseas member

Student member

How did you hear about us?

Website   SUT event   Other event   Other

SUT publication   Other advertising   Via a colleague or word of mouth

If other, please specify

Additional information

Please limit your response to 100 words

Statement

I confirm that, to the best of my knowledge, the details given above are correct. I hereby apply for election to/transfer of membership of the Society for Underwater Technology and agree to abide by the SUT Membership Regulations.

Agree*(If you disagree, do not proceed further and contact the SUT Head Office. If you click submit, you will be agreeing to this statement.)

UK Data Protection Act 1998  I understand that the SUT will hold and use my personal data for administration purposes. to keep me informed of its activities and to offer me goods and services provided by the Institute. I hereby give my consent for the Institute to process the data for such purposes.

Agree*(If you disagree, do not proceed further and contact the SUT Head Office. If you click submit, you will be agreeing to this statement.)

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