THE CHESS CENTER OF NEW YORK, P.O. Box 4615, New Windsor, NY 12553
If you prefer to mail your credit card information to use for payment, you can provide your credit card information below.
MAIL ENTRIES MUST BE POSTMARKED NO LATER THAN JANUARY 10, 2005!
IF YOU MUST CONFIRM RECEIPT OF YOUR MAIL ENTRY, ENCLOSE A SELF-ADDRESSED, STAMPED POSTCARD: MAIL ENTRIES ARE NOT CONFIRMED BY PHONE!
If you want to use a FAX machine, print the form below on your printer, fill out all items, and FAX it to us at 845-562-0991, NO LATER THAN JANUARY 15th.
If you have a FAX modem, cut and paste it into your wordprocessing program, fill out all items, and FAX it to us at 845-562-0991, NO LATER THAN JANUARY 15th.
Cut and paste it into your email, fill it out, and send it to us at email@example.com, NO LATER THAN JANUARY 15th.
We do not confirm FAX, mail or email entries individually. However a list of entries received will be posted at this website by January 27th.
City, State, Zip of Player:
Address (city, state) of School:
USCF Membership is required. Please provide USCF information below:
USCF Status: (Current Member, Joining now, or Renewing Now):
USCF Expiration (mm/yy):
December 2004 USCF Rating:
Those who are joining or renewing now, please indicate membership type:
Regular Membership Dues, $49/year (includes 12 issues of "Chess Life") OR
Age 19/below, $25/year (includes 12 issues of "Chess Life"), OR
Age 14/below, $19/year for 6 issues.
Type of card:
Expiration Date (mm/dd/yy):
Name of Cardholder:
Mailing Address of Cardholder: