Membership Application/Renewal Form 2017

PLEASE NOTE:
This form cannot be submitted directly. Instead, please email it to us by  the following simple steps:
   (1)  Select and copy the form (Ctrl-A then Ctrl-C).
   (2)  Create an email by clicking on entries@nswjcl.org.au
          (make sure the email is in HTML format, not plain text).

   (3)  Paste the form into the body of the email (Ctrl-V)
          (if the form is no longer in tabular format or there is no colour your email is probably
          in plain text format go back to step (2) above).

   (4)  Fill in the relevant parts of the form, then send it.
Payment can be made by internet banking or direct deposit (the banking details are shown below).

Family Name

 

     Given Name

 

Sex (M/F)

 

Date of Birth

 

               School

 

Additional Family Members (brothers and sisters for family membership)

     Given Name

 

Sex (M/F)

 

Date of Birth

 

               School

 

     Given Name

 

Sex (M/F)

 

Date of Birth

 

               School

 

     Given Name

 

Sex (M/F)

 

Date of Birth

 

               School

 

Address

 

Suburb

 

Postcode

 

Phone

 

Mobile (or parent's contact phone during tournaments)

 

Email Address

 

Membership Fee

$

Membership Fees 

Renewal
and annual

New from
May
*

New from
August
*

Renewals are due in January each year.

Membership
Family Membership

Country Membership
Country Family Membership
Associate Membership

$24
$30

$16
$20
 $20

$20
$26

$13
$17
$17

$16
$22

$10
$14
$14

      * The discounted  membership fees for new members joining late in
          the year are for that year's membership, ending in December.

Donation

$

We endeavour to keep our fees as low as possible.
Your donation would be greatly appreciated.

 

Total paid (or to be paid)

$

 

Payment Options

(1)  Cheque or money order 

         Make payable to NSW Junior Chess League

Date posted

 

         Please write family and given names on reverse of cheque or money order
         Post to NSW Junior Chess League, PO Box 262, Penshurst NSW 2222

(2)  Internet banking (or direct deposit at any branch of the Commonwealth Bank)
        
Pay to:   BSB:  062 028   (Commonwealth Bank, Town Hall branch)

                      Account Number:  00904158   (NSW Junior Chess League)

         It is important that you include a transaction description with the payment to enable us to identify it  we suggest

         that this be the player's name (surname and given name or initials).  Note that long descriptions will be truncated

         (how much depends on the bank it can be to as little as 14 characters).

         For example,  JOHN SMITH or CHEN X AND Y

Transaction description to be included with your payment

 

Comments/questions (optional)

 

Please check carefully before sending
No confirmation is sent our first communication will be the next issue of our magazine.