English Senior Championship – Online Entry form

Tournament Entry Fee
(English Senior Championship £40; Dovedale Senior Open £30)

Late Entry Surcharge
(£5.00 if postmarked after 05/01/08; £10 if after 19/01/08)
Donations
(Donations to assist the ECF are always welcome)
ECF membership - click here to download the form
(All entrants to the Championship Section must be members)
Total
Please fill in your details, print off this page and send with payment to: Neil Graham, 52 Skegby Road, Annesley Woodhouse, Kirkby-in-Ashfield, Nottingham NG17 9JH.
Title   
Forename   Surname
Full Address
 
Post Code
Telephone Number/s
Email Address
Date of Birth   Club
Membership No.   Grading/Rating
Declaration: I wish to enter and am eligible for the above event.
Signed Dated   

Entry fees include VAT (ECF Registration No 195643626)

Entries must include the relevant payment. Cheques and postal orders should be crossed and made payable to the English Chess Federation. Do not send cash through the post. Payment can be paid by credit card – details shown by appended below.

I enclose a payable to ENGLISH CHESS FEDERATION for £  

OR charge my for £

Card Number       Expiry Date /
(please note that credit cards can only be used for items over £5)

Signed

A Company Limited by Guarantee Registered in England and Wales. Registration Number: 5293039. VAT Registration No. 195643626.