Nominations

BRISTOL & DISTRICT BRANCH OF PARKINSON’S UK

NOMINATION FORM FOR ELECTION TO COMMITTEE MARCH 2019

All nominees must be a member of Parkinson’s UK

Name of nominee: _______________________________________________

Signature of nominee: _______________________________________________

Date: ____________________________Membership No: ______________

Proposed by: (must be a member of Parkinson’s UK)

Name: ________________________________________

Signature: ________________________________________

Date: ________________________________________

Seconded by: (must be a member of Parkinson’s UK)

Name: ________________________________________

Signature: ________________________________________

Date: ________________________________________

For new committee members:

In no more than around 100 words, please say why you would like to join the committee.

Please return completed form by 6 February 2021

To: email pukbristolsecretary@gmail.com