Warwickshire Congress entry form

Section: *  

Forename: *  

Surname: *  

Date of Birth: *            

Postal Address: *  

Post Code: *  

Telephone:  

Mobile:  

Email Address: *  

Club:

ECF Standard Grade (January 2019):  

ECF Grading Reference:  

ECF Membership No:
(Required if you are currently a member)

NOTE: The membership number is 6 digits.

ECF Membership
Category: *
   

FIDE Rating (February 2019):  

FIDE Code:  

Federation (ENG, WLS):

Ungraded Player Details:

Bye Required:

Donation to Association

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