Individual Registration Request

Please complete the following individual registration request and submit it to registration@nwmun.org.
This form is ONLY for individuals attending the conference without a group (such as colleges and universities). If you are attending as a member of a group, please fill out an delegation registration request instead of this form.

Contact Information
1. Your Name / Position (Head Delegate/Faculty Advisor/Team President, etc.):

2. Your Email Address:

3. Your Phone Number:

4. Do you attend a college or university? If so, which school?:

Topical / Regional Interests
5. Countries Or Regions Of Interest:

6. Issues Or Topics Of Interest:

Country / NGO Requests
Please consult the Country Matrix before filling out this section.

6. Please list your requested countries in order of your preference. Please only request 1-delegate countries or observers.
(For Example: "Vanuatu, 1 Delegate")

7. (Optional) Please provide any information (briefly) you would like us to know to support your requests.

Thank you for registering for NWMUN 2010! Please send this completed form to registration@nwmun.org. We will respond to this request within 3 days.