Registration


School Information

School Name:

Street Address:

City:

State:

Zip Code:

Country:

Phone Number: (xxx-xxx-xxxx)

Fax:


Adviser/Head Delegate Information

Head Delegate:

Head Delegate's Email:

Please DO NOT enter more than one email address.

Faculty Advisor:

Faculty Advisor's Email:

Please DO NOT enter more than one email address.

Faculty Advisor's Phone Number:

Preferred Contact (We will email all info to this address!):

Delegation Information

Number of delegates:

Number of advisors:

Travel Information

Method of Travel:

Please check all that apply.

We will be staying at the hotel.
We will be flying to the conference.
Please share our info with other schools to discuss travel arrangements, etc.

Method of Payment:

If you're paying online, please pay here.

Other

Please check if this is the first time your school is attending PMUNC.