Membership Application

Contact Information

Email *

Re-enter your email *

Prefix

First Name *

Middle

Last Name *

Suffix

Title *

Company

Address 1 *

Address 2

International Province (Not US or Canada)

City *

US State/Canadian Province

Zip/Postal Code

Country *

Personal LinkedIn URL

Personal X (Twitter) URL

Personal Facebook URL

Profile Photo

Phone Number *

Include me in Membership Directories *
Yes No

General SPE Communications *
Yes No

Login/Password Login/Password

Please enter the Login/Password you would like to use to login to this website.

Your Login must be unique and must be at least 6 characters.
Passwords must be a minimum of 8 alpha-numeric characters with at least 1 number or 1 letter.

Password *

Confirm Password *

Consider supporting the SPE Foundation with a tax-deductible gift. Your generosity will directly affect future plastics professionals by funding scholarships, educational grants, and the PlastiVan program. If you wish to donate anonymously, mark your preference on the donation question found on the Additional Information tab.

Optional Foundation Donation

Payment Method

Enter the name on the bank account according to the information shown on your bank statement. The account number and routing number can be copied from the lower left corner of the check.

Account Type

Checking

Savings

Routing Number

Account Number

Account Holder Type

Business

Personal

Business Name

Account Holder Name

By submitting payment, I am authorizing SPE to initiate a single or recurring ACH/electronic debit in the amount indicated from the bank account I designated above. I understand that this Authorization will remain in full force and effect until the transaction is cancelled by me by contacting SPE, or the ACH/electronic debit is processed from the designated account. I certify that (1) I am authorized to debit the bank account above and (2) the ACH/electronic payment I am authorizing complies with all applicable laws.

Name on Card

Card Number

Expiration

CSC

Billing Street

Billing Zip Code

Save payment method for future purchases

Total Amount Due

Enable Automatic Renewals? *

Select "Yes" to enroll in automatic membership renewal. The payment method submitted with this form will be used for your future membership renewals. You can change the automatic renewal setting or saved payment method at any time in either the "Payment Methods" or "Renewal Settings" where you edit your profile.

Yes