CONTINENTAL CHESS ASSOCIATION ENTRY FORM FOR MAILED ENTRIES

Name___________________________

Tournament_______________________

Date(s)__________________________

Section__________________________

Schedule (number of days)___________

8-digit USCF ID number________________

Official Published Rating (see www.uschess.org/msa)__________

Entry fee enclosed $___________

USCF expiration date ___/___/_____

USCF dues enclosed, if any $_______

State dues enclosed, if any $_______

Birthdate (if also paying USCF dues, or if this is a scholastic or junior tournament ___/___/_____

Address________________________________________________________

School (if this is a scholastic or junior tournament)______________________________________

Grade (if this is a scholastic or junior tournament)____

Email address, for our mailing list______________________________________


Print this form and send to Continental Chess,  PO Box 8482,  Pelham, NY 10803.
Make check payable to Continental Chess.

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