THE FRIENDS OF CHESS

MEMBERSHIP APPLICATION

To:

John Philpott
Secretary
THE FRIENDS OF CHESS
50 Cranston Gardens
Chingford
London
E4 9BQ

I wish to join the Friends of Chess in the following membership category (tick one of the following boxes)

  SPONSOR (Minimum subscription £100)
  PATRON (Minimum subscription £40)
  FRIEND (Minimum subscription £15)

I enclose a remittance for £........in favour of "The Friends of Chess"/I have completed the banker's order form (delete one of these alternatives).

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

Contact individual*....................................................................................

Address....................................................................................................

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

....................................................................Post code..............................

BLOCK LETTERS PLEASE

Signed.......................................................................................................

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

  Tick this box if a receipt is required

* Only required if the member is an organisation

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