NWMUN-Portland 2021 Individual Registration Request

NWMUN-Portland 2021 Individual Registration Request
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 a "Delegation Registration Request" instead of this form.

If you have any questions, please email us at registration.portland@nwmun.org.
I acknowledge that I have read the "Information for International Attendees" page on the NWMUN-Portland website (http://portland.nwmun.org/registration/information-for-international-attendees). By checking this box, I agree NOT to request visa assistance to attend this conference. *

I will NOT request visa assistance to attend this conference.
Contact Information
Your Name *
Your Email Address *
Your Phone Number *

Area Code Phone Number
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Do you attend a college or university? If so, which school? *
NWMUN has a Photography and Videography Policy (http://portland.nwmun.org/conference-information/photography-policy). All delegates are required to agree to its terms as part of registration. Please read the policy before answering the following question.
Do you understand the NWMUN Photography and Videography Policy, and do you agree to its terms? *

Yes - I have read and understood the NWMUN Photography and Videography Policy and agree to its terms.
Country Requests
Please consult the country matrix before filling out this section. You can find the country matrix at:
http://portland.nwmun.org/conference-information/country-matrix
Regions Of Interest
Issues or Topics of Interest
List your requested countries in order of your preference. Please only request countries with a capacity of 1 delegate (GA only). *
Please consult the country matrix before answering this question. ONLY 1- or 2-delegate countries will be assigned to individual delegates.
(Optional) Please provide any information (briefly) you would like us to know to support your requests.
Pre-Orders and Payment
This section relates to pre-orders for the conference merchandise and Delegate Social. Payment for any pre-orders requested here will be included in the delegate fee invoice accompanying your country assignments. All pre-ordered items/tickets will be given out at Registration on Friday.

Please note that while everything will be available for purchase at conference, pre-orders get a discount:
- Delegate Social Tickets are $5 when pre-ordered, $7 at the conference, $10 at the door
- T-Shirts are $10 when pre-ordered, $12 at the conference
- Lapel Pins are $4 when pre-ordered, $5 at the conference
- Shot Glasses are $4 when pre-ordered, $5 at the conference
- Notebooks are $5 when pre-ordered, $7 at the conference
- Lanyards are $1.50 when pre-ordered, $2 at the conference
Payments
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NWMUN-Portland 2021 Individual Registration Fee $ 60.00

NWMUN-Portland 2021 Delegate Social Ticket $ 5.00

NWMUN T-Shirt (choose size below) $ 10.00

T-Shirt

NWMUN Lapel Pin $ 4.00

NWMUN Shot Glass $ 4.00

NWMUN Notebook $ 5.00

NWMUN Lanyard $ 1.50

Total $ 0.00
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NWMUN-Portland 2021 Individual Registration Request

Contact Information

Country Requests

Pre-Orders and Payment