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SDCA Membership Form
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Email
*
Your email
Type of membership
*
Family
Junior (under 20)
Adult (20 or over individual)
New or Renewed from last year?
Renewed
New (not a SDCA member last year)
Clear selection
USCF ID#
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Address Line 1
Your answer
Address Line 2
Your answer
City
*
Your answer
State
Your answer
Zip Code
Your answer
Birth date (mm/dd/yyyy)
Required for age dependent memberships.
Your answer
Gender
Male
Female
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e-mail
For SDCA purposes only (we do not share with third parties)
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Additional family members. (Please include Name, USCF ID#, Bithday, Gender, or additional emails)
for family memberships only
Your answer
Payment Source
*
I I plan to send my friends at SDCA the $ via paypal
The checks in the mail
Bill me! See you at the teams
Required
This years over the board team tournament
I plan on playing and have an idea who's on my team.
I'm interested and looking for teammates.
Other:
chess.com
username
Please join the South Dakota group at
chess.com
for free
Your answer
Send me a copy of my responses.
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