Online PIChE Registration
Title First Name Last Name
Name of Company, Organization, or Institution
Your Mailing Address:
Your Mobile Phone: Your Office Phone:
Your E-mail Address(es) :
Your PRC Reg. No. Yr. 1st Registered: Yr. Last Registered
Your PIChE Chapter Affiliation: Chapter Member since what year:
School where you finished BSChE: Yr. Graduated:
School where you finished MS/MA: Degree: Yr. Graduated:
School where you finished PhD: Degree: Yr. Graduated:
Your Years of Professional Experience:
Industry: Government: Research: Academe: Entrepreneurship:
Other Fields: Specify Other Fields:
Your Areas of Expertise:
PLEASE REGISTER ALSO AT THE THE PIChE Forums Site:
1. Login to pichenet.org/forums and click the Register Link.
2. Enter email address, preferred username and password.
3. Wait for confirmation of registration within 2 working days and then login using username and password.
I want to join a PIChE Chapter. Please contact me by: Email SMS