Member's application

Personal data

First name ..................................

Name ....................................... ...........................

Street ....................................... Nr. .........

Postcode ...................

Town .......................................

Date .................................

Nationality .........................

Phone ................/ ...........................

Fax ................/ ................

Email ...........................................

Membership in the following chess association

.......................................


Elo (ICCF)...................... Title:................. Class:.................


ICCF member since. ......................

ICCF member's number ............................


0 I would like to participate actively in a team of the Champion's
	League
0 I agree to become eventually the team captain of my team.
0 I agree to participate actively in the club activities to give a share.
	(E.g. Analyses of running games, exchange of informations, data banks etc.
O I want to play the pyramid (friendly game with other Rochade members)



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Please send this Members app. to
SCHWENK	Heinrich
D - 89150 Laichingen	
Helfensteiner Str. 41

(or with EMail to:  heinrichschwenk@hotmail.com )

Suggestions:

Membership subscription: according to decision during the board meeting on
19/10/1996 the annual membership fee amounts 12. - €. The amount serves for the 
cover of the entry fees and the postage of the team captains. Payable in 
January.

Payments to:
Volksbank Laichingen
BLZ: 630 913 00
Konto Nr.: 25 82 015
Konto Inhaber: Henry Schwenk, D - Laichingen


IBAN: DE22630913000002582015
SWIFT-BIC: GENODES1LAI