New South Wales Junior Chess League Incorporated

2010 MEMBERSHIP APPLICATION/RENEWAL FORM

Please print this form, complete it and post with your payment (cheque or money order).
(We regret that we do not have the facilities to accept membership applications or payments online.)

Membership is for the calendar year (January to December).  Reduced fees apply for new members (not renewals) joining later in the year. Membership categories are: Membership (individual); Family Membership (more than one child in the same family - brothers and sisters - one magazine only); Country Membership (members residing outside Sydney [County of Cumberland]); Country Family Membership; Associate Membership (members over 18, libraries etc); Introductory Membership (for first time players entitling them to enter one tournament and to receive one subsequent magazine); and Introductory Family Membership.

Please print neatly, then send with payment to

NSW Junior Chess League,  PO Box 262,  Penshurst  NSW  2222
(Please make cheque or money order payable to NSW Junior Chess League) 
Membership Categories
Full Year Fees
New from May
New from August
Membership (individual)
$24
$20
$16
Family Membership
$30
$26
$22
Country Membership
$16
$13
$10
Country Family Membership
$20
$17
$14
Associate Membership
$20
$17
$14
Introductory Membership
$10
$10
$10
Introductory Family Membership
$12
$12
$12
The full year's fee is applicable to renewals, even if rejoining late in the year.

For renewals, please complete names and date(s) of birth only, unless other details have changed.

FAMILY NAME______________________________  PHONE_______________________

           GIVEN NAME___________________________  DATE OF BIRTH_______________

 Sex (M/F)____  School____________________________________________

Additional Family Members (brothers and sisters – for Family Membership):    

           GIVEN NAME___________________________  DATE OF BIRTH_______________

 Sex (M/F)____  School____________________________________________

           GIVEN NAME___________________________  DATE OF BIRTH_______________

 Sex (M/F)____  School____________________________________________

ADDRESS_________________________________________________________________

     ______________________________________________  POSTCODE_______________

EMAIL____________________________________________________________________

The applicant(s) agree to be bound by the rules of the NSW Junior Chess League Inc. for the time being in force.

SIGNED [by applicant(s) or, if under 18 years of age, by his, her or their parent or guardian]:                                    

     ____________________________________________________DATE_______________