Please complete the form below to register for the Order of the Engineer ceremony. The registration fee is $20 and includes your Engineer’s Ring.

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2. Name (Required.)

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3. Please enter your current mailing address. (Required.)

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4. Primary Phone Number (Required.)

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6. Please select the eligibility category that applies to you: (Required.)

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7. Please supply your employer information (Employer Company /Your Job Title / Employer Phone Number)

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8. Please supply your College/University and Graduation Information (Month/Year)

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9. Please supply your PE Registration Information (State of Registration / Registration Number)

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11. I confirm that the information provided above is accurate, including my eligibility and ring size. (Required.)

A $20 registration fee includes participation in the ceremony and your Engineer’s Ring. You will be directed to make a payment with Stripe when you submit this form. Your registration is not complete without payment.

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