New School Registration Form

Oregon Model United Nations

Name of School
School Address
School City
School State (two letters only)
School ZIP Code (Format: 98765 - numbers ONLY, no dashes)
School Phone (Format: 5039876543 - numbers ONLY, no dashes)
School Fax (Format: 5039876543 - numbers ONLY, no dashes)
Advisor's Name
Advisor's Phone (Format: 5039876543 - numbers ONLY, no dashes)
Advisor's School E-mail Address
Advisor's Home Address Personal data will ONLY be used in emergency!
Advisor's City
Advisor's State (two letters only)
Advisor's ZIP Code (Format: 98765 - numbers ONLY, no dashes)
Advisor's Home Phone (Format: 5039876543 - numbers ONLY, no dashes)
Advisor's Home E-mail Address
What kind of organization will your program be?
Class-based Club-based

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

Oregon Model United Nations Spring Conference
April 8, 9, and 10, 2010
University of Oregon
Eugene, Oregon

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