Model Organization of American States

Registration Form 2006

______ Yes, our university will attend the MMOAS General Assembly for Universities, 9-13 April 2006, in Washington, DC.

University: ______________________________________________________________

Faculty Advisor Name: _______________________________________________

Address:         ______________________________________________________

                       ______________________________________________________

                       ______________________________________________________

Phone:              ______________________________________________________

Email:              ______________________________________________________

Fax:                ____________________________________________

If you have a preference of country that you would like for your university to represent, please indicate your first three choices. The preferences will be handled on a first come-first served basis.

1. ____________________    2. ____________________    3. ____________________

________________________________________________________________________

Please do not select countries your university represented in the last two years.

Please send this form, and your check/money order for the registration fee of $800, to: The Inter-American Institute for Diplomacy, c/o Dr. Joan Andorfer, Department of Political Science, Frostburg State University, Frostburg, MD 21532. The fax number is: 301-687-4760.

 DEADLINE FOR RECEIPT OF PAYMENT IS OCTOBER 31,2005.