MUNUC XXIII Registration

School Name

School Address

Street Address:

City:

State / Province (ie. IL):

Zip:

Country:

Contact Information

Please list the phone and fax numbers that can be used to contact your organization at the school.

Phone Number
e.g. (773) 834-0547

Fax Number

Primary Advisor Information

Please fill in contact information for the primary advisor. The primary advisor is a faculty member of the school who will act as the primary contact regarding the conference. Additional advisors can be added on the next page.

Title: Dr. Ms. Mrs. Mr.

First Name:

Last Name:

Email:

Phone Number
e.g. (773) 834-0547: Ext.

Cell Phone Number:

Primary Administrative Contact Information

Please fill in contact information for the primary administrative oversight of your MUN team (such as a principal or vice principal). This individual will only be contacted in the case of an emergency during the conference.

Title: Dr. Ms. Mrs. Mr.

First Name:

Last Name:

Email:

Phone Number
e.g. (773) 834-0547: Ext.

Expected Number of Delegates

Please estimate how many delegates your organization intends to bring to the conference.

Minimum Number of Delegates

Please indicate what is the minimum number of delegates that you will bring to the conference.

Maximum Number of Delegates

Please indicate what is the maximum number of delegates that you will bring to the conference

Number of Countries

Special Registration Committees and Events

The following special registration committees are open to all delegates on a first-come, first-served basis. Please indicate your interest in any of these committees by marking the appropriate check box. We particularly encourage delegates with continuous crisis experience to take part in these exciting, fast-paced educational simulations.

Notes

Please include any additional notes, questions, or comments for MUNUC. This may include additional email contact addresses. If you are not the primary advisor (a faculty member responsible for the organization), please also note this fact. Feel free to email Chief Administrative Officer, Ms. Shirley Sierra regarding any registration matters at .

Submit Your Registration