ENTRY FORM 08 Vic Open
Name
.........................................................
Address
..............................................................
Post code ..............
Telephone
..........
E-mail
.........
Tick the applicable fee
Early bird entry fee $50...............Must be paid by May 30
Full entry fee $65 .........................
Registration fee $10................
.
Tick the fee applicable and attach the required amount
I am a member of the ..............................
C V affiliated chess club
I am an interstate visitor from
...........................................................
I am an overseas visitor from
............................................................
I am none of the above and I include the necessary $10
registration fee with my entry.
Signature of the entrant
.
Post with entry fee to
2008 Vic Open Championship
cheques payable to the Box Hill Chess Club
c/o 6 Andrew Street Forest Hill 3131
