PCMI Committee Nomination Form

You may volunteer to serve yourself or you can nominate someone else from your company to serve.

Each committee determines how often they meet by video conference call.

Company

Address *

City

State Zip Code

Phone

Country

Contact Name

Email *

I would like to nominate

Name

Title *

Cell Phone #

Yes No I/we agree that PCMI can use my cell number to send text messages.

to serve on the

Committee

Board of Directors	Spring 2024 Conference Committee	Education Committee
Membership Committee	IT Committee

PCMI: 11 Robert Toner Blvd., #234 | North Attleboro, MA 02763 | 508-385-0085 | www.pcmi.org

Katie Burke | Program Coordinator | katie@pcmi.org