Entries to M.Stokes
20 Melaleuca Drive , Strathpine 4500

E-mail: markcstokes@hotmail.com

E-Mail entries only entitled discount if PAYMENT received by due date
E-mail entries WILL NOT be include in Rd.1 draw unless payment received by 9.30 AM 15 October 2004
NAME: -----------------------------------------------------

RATING: ---------------------------------------------

ADDRESS:---------------------------------------------------

-----------------------------------------------------
STATUS:---------------------------------------------------
(e.g Senior, Pensioner , Junior or Cadet)
DATE OF BIRTH:---------------------------------------
(Juniors/Cadets and unrated only)


Please enter me in 15th. REDCLIFFE CHALLENGE

ENTRY FEE $......
              
Please make cheques payable to:-- REDCLIFFE CHESS CLUB

I agree to abide by the Arbiter’s decisions.

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