Online Membership Form – IndividualMembership Category *MemberStudentTitleSurname *Initials *Forenames *Preferred forenameDate of Birth *Home Address *Preferred Email *Alternate EmailHome PhoneBusiness/Term AddressBusiness PhoneCellphonePosition/CompanyPreferred Mailing AddressHomeBusinessPreferred Email AddressHomeBusinessAre you now, or have you ever been, a member of Engineering New Zealand or affiliated Engineering New Zealand groups?YesNo (If 'Yes', please provide Engineering New Zealand numberPlease indentify your main areas of interest or send us a message using the space belowI wish to apply for membership of the Rivers Group and do hereby agree that, in the event of my admission, I will be governed by the Rules of the Rivers Group for the time being in force, or as they may hereafter be amended, and that I will promote the objectives of the Rivers Group as far as may be in my power. *I AgreeNameSubmit..