Membership Form

I wish to join the Society of Oxford University Engineers. I understand that I may be required to provide evidence of my Oxford engineering degree.

Title
First Name(s)
Surname (including surname when at Oxford, if different)
College
Matriculation Year
Graduation* Year
First Oxford Degree Taken (Eng Sci, EEM, DPhil etc.)
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Postcode
Country
E-mail Address
Mailing List Preferences (Please tick one box)	[ ] Electronic mail [ ] No mailings

* N.B. Graduation refers to completing the course (thereby becoming eligible for the degree), rather than attending a graduation ceremony.

Please return this form to the Membership Secretary: Simon Turner, 14 The Poplars, Launton, Bicester, Oxfordshire, OX26 5DW