School Name
School Address
City & State
Postal Code
Telephone
Fax
Contact Name
Email
List below the Member states you wish to represent in your order of preference. Indicate the number of countries you are planning to represent in the first line, other wise only one Member State will be assigned from the list.
Number of countries you wish to represent
Country 1
Country 2
Country 3
Country 4
Country 5
It is recommended that you print this form before submitting it. If you experience any problems submitting it electronically, email country requests and school information to the OED at oed@munfw.org
