2008 Space City Open

October 4-5, 2008

Advanced Entry Form

=========== PLEASE FILL IN APPLICABLE INFORMATION ==============


Name__________________________________USCF ID_______________ Exp. Date______________
   (As shown on ID Card if USCF member)     ("NEW" if first time m'ship)

Address_________________________________________Section_____________Grade___________
                                                             

City/State_____________________________________Zip__________Date of Birth___________

BYE Request: I ______________________________ request a bye for round(s) 1  2  3  4.
              (Signature & Date)                                    [Circle Choices] 
                                                  No 5th round bye requests accepted

Enclosed:_Entry Fee(s) @ $20.00 or $30.00 on-site (circle one) + USCF Membership @ $17/$19/$25/$41 + Alabama Chess Federation M'ship @ $10 (for Alabama residents) = Total Submitted ______. Specify USCF Membership as New_____or Renewal_________ (Check one). Submit one form for each entrant. Single check for all entry and USCF Membership fees payable to: Huntsville Chess Club. Please include PLAYER name(s) on check. Send proof of USCF membership: Copy of card, magazine mailing label or printout. On-site entrants bring proof of membership. USCF memberships available on web at uschess.org.