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The Bahamas Chess Federation (1974)
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PLEASE PRINT THIS FORM AND FAX IT TO: 356-7653
 
OR Email this information to BCF (bahamaschessfederation@coralwave.com)

PLAYER INFORMATION (SENIORS)

 

NAME: ___________________________________________________

 

AGE:______________________________________________________

 

BIRTHDATE: ______________________________________________

 

DATE: ____________________________________________________

 

WORK PLACE & TITLE:_____________________________________

 

 

WORK ADDRESS: __________________________________________

 

 

P.O.BOX (W): __________________ P.O.BOX (H) ________________

 

 

WORK PH: ____________________ EXT: _______________________

 

 

WORK FAX: _______________________________________________

 

GENDER:                      MALE                              FEMALE

 

HOME ADDRESS: _________________________________________

 

HOME PHONE: _________________ P.O.BOX:__________________

 

EMAIL ADDRESS: _________________________________________

 

PLEASE PRINT THIS FORM AND FAX IT TO: 356-7653
 
OR Email this information to BCF (bahamaschessfederation@coralwave.com)

The Bahamas Chess Federation 1974 (New Member/Senior)