CONCEPT DESIGN COURSE 2020

BOOKING FORM
Complete form below to register a place on the course (please print):

Name

Company

E-mail

Address for

Invoice/Receipt

Contact No.

Reason for taking course (please tick one)

CHARTERED MEMBERSHIP EXAM 2020

ASSOCIATE MEMBERSHIP EXAM 2020

EXPERIENCE/SITTING EXAM AT LATER DATE

What question would you expect to answer in the Exam? Please tick all that apply:

STEEL GENERAL/REFURB

CONCRETE BRIDGE

Please return this form by post or email along with proof of payment to the Treasurer:

Stephen Baldwin, 99 Northdown Road, Solihull, B91 3ND

Telephone: 07772 191376 Email: st99ba@gmail.com

Applications
pplications will only be accepted on receipt of proof of payment and with interests identified.

Midland Counties Regional Group

Mitchel Gray Richard Davis International HQ
Chairman Secretary 47-58 Bastwick Street
Entrust The Institution of Structural Engineers
The Riverway Centre London EC1V 3PS
Incorporated by Royal Charter
twitter.com/IStructEMidland
Riverway United Kingdom
Stafford ST16 3TH Charity Registered in England and Wales
tel: +44 (0)20 7235 4535
tel: 01785 277591 tel: 07709109570 fax: +44 (0)20 7235 4294 number 23392 and in Scotland number

mitchell.gray@entrust-ed.co.uk richardavis@hotmail.co.uk mail@istructe.org SC038263. VAT number 238 7045 52 http://linkd.in/zi6z7c

www.istructe.org