Scotmid Regional Committee Nomination Form

 

1. Which Region are you a member of? *

 

2. Full name  *

 

3. Full address  *

 

4. Email  *

 

5. Membership number *

 

6. Do you have £40 or more of share capital in the Society? *

 

7. Have you spent a minimum of £300 of qualifying purchases with the Society during the period 25 January 2025 to 24 January 2026?  *

 

8. Do you confirm you meet the eligibility criteria set out in Rule 44 of the Society's Rules?  *

 

9. Please provide the name of the member in your Region who is nominating you.  *

 

10. Membership number or email address for that member.   *

 

11. Please provide the name of the member in your Region who is seconding your nomination.   *

 

12. Membership number or email address for that member.  *

 

13. Would you like to meet with a current Regional Committee member to get an understanding of what the role involves?  *

 

We will verify the above responses against the information we hold for you and your nominator/seconder on the Society's register of members. 

If we cannot confirm that you have made £300 of qualifying purchases by checking this against your community connect/member card we may require you to provide additional evidence (e.g. receipts).