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Application Form

Gateway Model United Nations  -  2005 Conference on Middle East

Friday/Saturday February 25 - 26, 2005

Last Name:     First Name:

School:       Class of:

Home Address:

City:   State:   Zip Code:

Phone:   Cell Phone  (if applicable):

E-Mail:

Which country would you like to represent? [Country list below.]

1.      2.     3.

Who would you like as your roommate(s)?

Do you need vegetarian meals?  Yes      No

Payment information:

The fee for this conference is $60.

Do you need financial aid in order to attend the conference?    Yes      No

 If so, please contact us, at 314-367-6480, or email to civitas@swbell.net.

 

Payment information

-The fee for the conference is $60. We need your payment one week before the conference. Check, money order or cash.

 

-Financial aid is available. We want everyone to be able to attend, regardless of your ability to pay, so please let us know if you need financial aid. Talk to us, or call us at 314-367-6480.

 

How to enroll in the conference

-"Submit" this application form now, or send a paper copy to Civitas Associates, 232 N. Kingshighway, #2101, St. Louis MO, 63108.

 

-Sign up on-line at www.civitas-stl.com, or sign up by phone: 314-367-6480

 

Other information you’ll need to supply

-Permission form, signed by a parent/guardian. We’ll supply these forms closer to the conference.

 

 

Country selection list.

Afghanistan – Albania – Algeria – Angola – Argentina – Australia – Bangladesh – Belgium – Brazil – Cambodia – Canada – Chile - China – Colombia – Congo/Democratic Republic – Cyprus -- Egypt – Ethiopia - France – Germany – Georgia - Haiti – Honduras – India – Iraq -- Israel - Italy – Indonesia – Japan – North Korea – Malaysia – Mexico – Morocco – Namibia – Netherlands – New Zealand – Nigeria – Norway -- Pakistan – Russian Federation – Rwanda – Saudi Arabia – Singapore – Somalia – South Africa – Spain – Sudan – Sweden – Switzerland – Thailand – Turkey – Ukraine – United Kingdom – USA – Venezuela – Vietnam – Zimbabwe

Civitas Associates
232 N. Kingshighway, # 2101
St. Louis, MO 63108 -4002
(314) 367-6480

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