Registration Form

* items required for submission.

*Institution Name:

*Club/Organization Name:

*Faculty Advisor:

*Club/Organization President:

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CONTACT PERSON'S INFORMATION

*Name:

*Telephone:

Cell Phone:

*E-mail Address:

*Retype E-mail Address:

Street Address:

City:

State: Zip:

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*Security Council Preferences, in order:

*General Assembly Preferences, in order:

*Number of Countries Desired: *Total Number of Delegates:

Comments for the Organizers:

Please contact the conference organizers at AMUNC@uwrf.edu if you have questions. We look forward to seeing you at the Conference.