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Name: ______________________________________________________________________Address: ___________________________________________________________________
City: _______________________________________ State: _______ Zip: __________
Phone Number: ______________________________________________________________
Email address: _____________________________________________________________
Membership Benefits: o Free access to club during open hours (10 AM to Midnight on Sun, Mon, Fri, and Sat; 3 PM to Midnight from Tuesday through Thursday) o Free access to nightly events from Monday through Friday (e.g. lectures, simuls, short events) o Discounts on weekend tournament entry fees o Access to the Club’s collection of chess books o A bi-monthly newsletter with local chess news, upcoming tournament info, game analysis, a tactical puzzle, and an endgame corner (Please Circle One Choice) Full Year Membership …………………………………………………………………………………………… $120
Six-Month Membership …………………………………………………………………………………………… $75
One Month Membership (after trial period is over) ……………… $20
Special One-Time Only One-Month Membership ………………………………… $10
(Make Checks Payable to East Bay Chess) Sign ____________________________________________ Date ________________ Please send this form, with the appropriate check amount, to East Bay Chess Club 1940 Virginia Street, Box C Berkeley, CA 94709 Or, you can come into the club and submit your form in person.