Individual Registration Request

Please complete the following individual registration request and submit it to
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 Full Name:

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 2013! Please send this completed form to We will respond to this request within 3 days.