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New Mexico Society of
Professional Engineers

A state society of the National Society of Professional Engineers

NMSPE Membership Form
PO Box 94116 – Albuquerque, NM 87199 - (505) 250-3091 - Fax (505) 858-2597
nmspe@nmspe.org
To be used if you are paying on-line.

Name:

Company/Firm:

Street:

City/State/Zip:

Phone:

Fax:

Email:

Preferred Chapter
Albuquerque Northern NM San Juan Southeast Southwest

Membership Dues

	State Only Members (NMSPE and Chapter)	$100 (please check box)
	$75 State/$25 Chapter


	Optional Donations ($10 - $25) (in $5 increments, please)

	Math Counts	Please enter amount.
	NMEF	Please enter amount.
	NMSPE PAC	Please enter amount.
	NMSPE Scholarship	Please enter amount.
	Practice Division	Please enter amount.

Grand Total

Please enter total.

Please jot down this www.nmspe.org/paystation.htm address (NMSPE Pay Station) prior to clicking the submit button below to pay by credit card or e-check.

When all fields are complete click the submit button below then print the confirmation form and go to the NMSPE pay station so you can finish.

To restart, clear all fields by clicking the reset button below: