Bcc Membership Form

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Brentwood Chess Club
www.brentwoodchessclub.org

est. 1906

Brentwood Baptist Church, Kings Road, Brentwood, Essex, CM14 4DP

Every Tuesday 7:30pm

Membership Form 2013-14 Season
(All recurring members please fully complete this form to keep our records up-to-date)

Name: Address: Postcode: Home Telephone: Mobile Number: E-Mail: DOB (juniors only)

Join Before 7th August 2013 to get Discount Membership
Membership Fees Essex Chess League Fee* North Essex Chess League Fee* Brentwood Chess Club Membership Baptist Church ECF Membership Fee$ Adult £5 £5 £13 £15 £12
Junior £2.50 £2.50 £6 £5 £9 Subtotal:

Grand Total:
Discounted Total = Grand Total -£10 (Available Until 6th August 2013): * For members who play for other clubs in the Essex League or the NECL deduct the relevant amount as you cannot play for Brentwood in the respective league. $ If you have paid for your ECF membership directly please quote your ECF direct membership number here:

Please write cheques/postal orders out to Brentwood Chess Club Please return all membership forms and fees to the club: BCC Treasurer – Steve Rosser, BCC Secretary – Russell Fisher, or BCC Chairman – Bob Hammond

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