Date:
I hereby apply for membership with the Hong Kong Juniors Chess Club.
Family Name: (Capital letter )
First Name: (Capital letter )
Date of Birth: (dd/mm/yyyy)
HK ID No.:
Home Address:
Tel. No.:
Mobile:
Fax. No.:
Email:
Signature:
Annual membership fee for junior members is $20.
The form should be sent together with a crossed cheque for the membership fee made payable to "Hong Kong Juniors Chess Club", to the Junior Chess Organizer, Ms. Ho Yin Ping at 17A, 111 Mount Butler Road, Jardine's Lookout, Hong Kong.