Rotary International District 9640

If you wish to have your school participate in MUNA 2012 then please complete and submit this "Expression of Interest" form. All Rotary Clubs in District 9640 will be informed of the MUNA 2012 details

All fields marked with an * must be filled
Name of School		*
Contact Teachers Name		*
School Postal Address
	Address 1
	Address 2
	Town
	Postcode
Contact Teachers Phone Numbers
	Work
	Home
	Mobile
If the contact teacher is not happy about providing these phone numbers, that is acceptable. However, we must insist on an Email address being provided and we guarantee total privacy.
Contact Teachers Email Address
	Teachers Email	*
School Email Address
	School Email
MUNA 2012 is kindly sponsored by the Tweed Shire Council