Pump Centre Council Election Form

HomePump Centre Council Election | Nomination Form

Please submit the form below to be considered for election of the Pump Centre Council.

Personal Details

Name*

Position*

Company*

Telephone*

Email*

Career Background

Proposed Initiative

Title*

Description*

Please provide a brief explanation of how your project, event, research, training, technical guide, or general support that you will deliver supports and contributes to the Pump Centre's strategy and membership?*

Overall Timescale*

Possible Collaborators*

* Indicates a required field.