IEEE-HKN Professional Induction Payment Form

Name*
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Email*
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Full Name as you wish it to appear on the Certificate*
IEEE Member Number*
Please indicate which Induction Ceremony you plan to attend*
- I will be at the Region 1/2 Meeting
- I have been invited to and will be attending the IEEE June Board Series
- I will need to attend a future induction ceremony in 2024
**If you need a future ceremony option, please DO NOT complete this form or submit payment yet. Reach out to us at info@hkn.org for further information.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Professional Induction Fee
Price:
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