Delegate Registration Form
(Big Five)

Oregon Model United Nations

Please NOTE:

A. Use this form only if you are representing one of the "Big Five" countries (US, UK, China, Russian Federation, & France)! If you are NOT representing a BIG FIVE COUNTRY, click HERE!

B. Do NOT hit the ENTER key until the form is COMPLETELY filled in! USE THE TAB KEY TO MOVE THE CURSOR TO THE NEXT LINE!

C. When the form is finished, press the ENTER key or click the "Send this registration Form to MUN" button at the bottom of the form.

D. * = Required

Assigned Country^*	A value is required.
School^*	A value is required.
Advisor^*	A value is required.
Advisor's E-mail address^*	A value is required.
Ambassador 1 First Name^*	A value is required.
Ambassador 1 Last Name^*	A value is required.
Ambassador 1 Committee^*	Please select an item.
Ambassador 2 First Name^*	A value is required.
Ambassador 2 Last Name^*	A value is required.
Ambassador 2 Committee^*	Please select an item.
Student #1 First Name
Student #1 Last Name
Student #1 Committee
Student #2 First Name
Student #2 Last Name
Student #2 Committee
Student 3 First Name
Student #3 Last Name
Student #3 Committee
Student #4 First Name
Student #4 Last Name
Student #4 Committee
Student #5 First Name
Student #5 Last Name
Student #5 Committee
Student #6 First Name
Student #6 Last Name
Student #6 Committee
Studen t#7 First Name
Student #7 Last Name
Student #7 Committee
Student #8 First Name
Student #8 Last Name
Student #8 Committee
Studen t#9 First Name
Student #9 Last Name
Student #9 Committee
Student #10 First Name
Student #10 Last Name
Student #10 Committee
Student #11 First Name
Student #11 Last Name
Student #11 Committee
Student #12 First Name
Student #12 Last Name
Student #12 Committee
Student #13 First Name
Student #13 Last Name
Student #13 Committee
Student #14 First Name
Student #14 Last Name
Student #14 Committee
Student #15 First Name
Student #15 Last Name
Student #15 Committee
Studen t#16 First Name
Student #16 Last Name
Student #16 Committee
Student #17 First Name
Student #17 Last Name
Student #17 Committee
Student #18 First Name
Student #18 Last Name
Student #18 Committee
Student #19 First Name
Student #19 Last Name
Student #19 Committee
Student #20 First Name
Student #20 Last Name
Student #20 Committee
Student #21 First Name
Student #21 Last Name
Student #21 Committee
Student #22 First Name
Student #22 Last Name
Student #22 Committee
Student #23 First Name
Student #23 Last Name
Student #23 Committee
Student #24 First Name
Student #24 Last Name
Student #24 Committee
Student #25 First Name
Student #25 Last Name
Student #25 Committee
Student #26 First Name
Student #26 Last Name
Student #26 Committee
Student #27 First Name
Student #27 Last Name
Student #27 Committee
Student #28 First Name
Student #28 Last Name
Student #28 Committee
Student #29 First Name
Student #29 Last Name
Student #29 Committee
Student #30 First Name
Student #30 Last Name
Student #30 Committee
Student #31 First Name
Student #31 Last Name
Student #31 Committee

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If there are difficulties in submitting this form electronically, please print it out and mail it or fax it to Jim Savard:

Jim Savard
721 NW Sandy
Grants Pass, OR 97526

Fax: 1 - 541 - 476 - 0694

MUN Spring Conference
April 7, 8 and 9, 2011
University of Oregon
Eugene, Oregon

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