PICSIM 2005 Online Registration Form
Please complete all fields.
1. School Name:
2. Head Delegate:
a. Phone Number: b. Fax Number: c. E-Mail Address:
a. Phone Number:
b. Fax Number:
c. E-Mail Address:
3. School Street Address:
4.Registration Option (Please Choose One): Early Reg. (by Oct. 20th -- Waived School Fee and Preference in Choosing Committees/Positions) Priority Reg. (by Dec. 1st -- $50 School Fee and Preference in Choosing Committees/Positions) Regular Reg. (by Jan. 1st -- $50 School Fee and Position Assignments Arranged by Availability) Late Reg. (by Jan. 23rd -- $75 School Fee and Position Assignments Arranged by Availability)
5. Fees:
Fee Qty Cost Per Subtotal School Fee 1 X Early: $0 Reg./Priority: $50 Late: $75 = $ Delegate Fee students attending X $65.00 = $ Total = $
Early: $0 Reg./Priority: $50 Late: $75
If you have any questions, please contact Jeanne-Paloma Zelmati at PICSim@whigclio.princeton.edu or jzelmati@princeton.edu or (212) 203-1169 (cell).
*SECONDARY REGISTRATION FORM & COUNTRY ASSIGNMENT APPLICATIONS WILL BE SENT UPON CONFIRMATION OF REGISTRATION*
