Houston Chess Association
Group USCF Membership
$11.00 for 12 months

This is a USCF Trial Promotion.  It is available for new and renewing members currently in grades K-12.  A working e-mail address is required.  You will receive an e-mail from me with your ID card and a PIN Number that you will need to register on the USCF website for access to the online versions of Chess Life (monthly) or Chess Life for Kids (Feb- Apr-Jun-Aug-Oct-Dec), as well as the "Members Only" area of the USCF website.    
Please print this page, fill in ALL blanks, and mail with a check for $11.00 to:
(If submitting several memberships, print a list or Excel file with ALL of this information for each player.) 
James Liptrap
P.O. Box 12053
Spring, TX 77391
Sorry, we are not set up for 
credit cards or payment on-line.
This form may be mailed along with tournament entries.  You may combine all players, entries, and memberships into a single check.  NOTE: for renewals, wait until the middle of the month in which your current membership expires.   
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Name _________________________________________________________
If renewing, name must match USCF records (see magazine label or
http://www.uschess.org/msa/MbrLst.php )
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USCF ID Number _______________ Expiration _______________  If renewing
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Birthdate:  Month __________ Day _____ Year________    Male___ Female___
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School Attending __________________________________ Grade _________
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E-mail address __________________________________________________
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Postal Address __________________________________________________
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City __________________________ State _____ Zip __________________
If you wish to receive mailed, paper copies of the magazine, or to sign up for more than one year, the fee will be as shown at http://chess.jliptrap.us/uscf.htm.  If so, please write in the amount you are paying for your membership $_____________.