Contact Details Name (main contact)

Company Name

Company Address

Email

Tel

Membership Type (please tick) Academic Member £150 Commercial Member (less than 50 employees) £200 Commercial Member (more than 50 employees) £250

Payment Details Payment Method Cheque BACs Invoice (please tick box) For cheque payments, please make payable to IAgrE BACS details: Sort code A/C For invoicing please fill out details below PO Number Invoice Address

Please return completed registration form to Sally Wood, Business Development & Projects Assistant

Email: [email protected] Post: Sally Wood, Institution of Agricultural Engineers, The Bullock Building (Bldg 53),

University Way, Cranfield, Bedford MK43 0GH