Section Entered:

Surname__________________________________ First Name(s)______________________________

Address____________________________________________________________________________

Post Code_________________________________ Phone____________________________________

E-mail____________________________________ Chess Club________________________________

Date of Birth_______________________________ School/College_____________________________

Grade: Rapidplay_________Slow Play_________

If ungraded, please give details of recent results:

______________________________________________________________________________________

BCF Membership No.__________

I enclose a cheque for £_____including a donation of £____

Please indicate if you require a bye in R1 _______

Please enclose a SAE if you require a receipt /acknowledgement or a map.

Please post entries to Gavin Wall, 19 Coleford Road, London SW18 1AD