North Dakota Society of Professional Engineers (NDSPE)

Fields marked (*) are required.

1. First name *
2. Last name *
3. Designation (PE, LE, LS, etc.) *
4. Representing *
5. Address *
6. City *
7. State * Please select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington State West Virginia Wisconsin Wyoming
8. ZIP code *
9. E-mail *
10. Phone (with area code) *
11. Fax (with area code)
12. Preferred method of contact

    Email Phone Fax
13. Are you an NSPE member? *

    Yes No
14. I will be attending the entire conference as a (includes banquet fee): *

    Non-member ($225) Member ($175) DOT Enterprise member ($75) Student ($50)
15. Would you like to pay for additional meals ($35 each)? *

    Yes No
    • Number of additional meals
16. Total due $0.00
17. Guest name (if applicable)
18. Additional comments

NOTE: Select the “Submit” button only once. Selecting the button more than once may create duplicate orders. You will be directed to PayPal to complete payment. Once payment is completed, you will be re-directed back to NDSPE.