2
7/25/2019 MembershipForm Us Chess http://slidepdf.com/reader/full/membershipform-us-chess 1/2 Each of our membership categories are summarized below; please see over page for full details.  PREMIUM ADULT Receive printed Chess Life magazine monthly $ 49 $ 95 REGULAR ADULT $ 40 $ 75 Online access to Chess Life  SENIOR $ 40 $ 75 65 and over, printed Chess Life  PREMIUM YOUNG ADULT $ 35 $ 65 25 and under at expiration, printed Chess Life  REGULAR YOUNG ADULT $ 26 $ 48 25 and under at expiration, online access to Chess Life  PREMIUM YOUTH $ 30 $ 55 16 and under at expiration, 6 printed Chess Life  REGULAR YOUTH $ 22 $ 40 16 and under at expiration, online access to Chess Life  PREMIUM SCHOLASTIC $ 25 $ 45 13 and under at expiration, 6 printed Chess Life Kids  REGULAR SCHOLASTIC $ 17 $ 30 13 and under at expiration, online access to Chess Life Kids  FAMILY PLAN 1 $ 80 FAMILY PLAN 2 $ 50 See the following page for details on both of our Family Plans US Chess, PO Box 3967, Crossville, TN 38557 800-903-USCF (8723) www.uschess.org Yes, I would like to make the suggested donation of $10 to support US Chess, 501(c)(3), Programs such as youth, scholastic and international activities.  MEMBERSHIP DUES: $_______________  Other Foreign Postage ** $_______________ (add $25 per year) Donation (optional) $_______________ TOTAL ENCLOSED: $_______________ ** Non-U.S. Residents must add annual surcharge for postage and handling for Chess Life. Canada/ Mexico: No Charge Other Foreign Countries: Must add $25 per year Please note that membership dues are non-refundable. MEMBER INFORMATION DUES INFORMATION PAYMENT FOR OFFICI L USE ONLY Affiliate: Please print legibly and firmly. Note: Affiliates are not agents of US Chess for any purpose Name of Authorized Affiliate Affiliate I.D. Number Selling Officer’s Name Date AFFILIATE COMMISSION: $3.00 EFFECTIVE JAN 1, 2016 NEW MEMBER / RENEWAL APPLICATION Please print legibly and firmly with a ballpoint pen. CHECK ONE: NEW RENEWAL CHECK ONE: MALE FEMALE US Chess ID: EXP Name Address City State Zip Code Phone Date of Birth E-mail Do you want to exclude your name from promotional mailings? Yes No Do you want to receive information by e-mail? Yes   No PAYMENT INFORMATION Send Check or money order payable to US Chess to PO Box 3967, Crossville, TN 38557 To pay by credit card call 800-903-8723 ext. 4, Monday-Friday 8am to 5pm CST or go to uschess.org and click on “Join” Each “Premium” Adult, Senior, and Premium Young Adult member is entitled to receive a printed copy of Chess Life. “Regular” category members receive online only access to Chess Life. Each “Premium” Youth member is entitled to receive Chess Life bimonthly. Each “Premium” Scholastic member is entitled to receive Chess Life for Kids (CL4K) bimonthly. “Regu- lar” Scholastic members receive online access only to CL4K . Each member is entitled to have his or her tournament play officially rated, to participate in the Annual Membership meet- ing, and to enjoy all other rights and privileges of membership not herein enumerated. Members and Affiliates with mailing addresses outside the United States will be charged an additional fee to cover extra costs. MEMBERSHIP DUES ARE NOT REFUNDABLE AND ARE SUBJECT TO CHANGE WITHOUT NOTICE. THIS FORM WILL NO LONGER BE VALID IF A NEW ONE IS POSTED. PROOF OF ELIGIBILITY MAY BE REQUIRED. Affiliate commissions may not be available for certain memberships processed online. 1 YEAR 2 YEAR 10.00

MembershipForm Us Chess

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Page 1: MembershipForm Us Chess

7252019 MembershipForm Us Chess

httpslidepdfcomreaderfullmembershipform-us-chess 12

Each of our membership categories are summarized below please see over page for full details

PREMIUM ADULTReceive printed Chess Life magazine monthly $49 $95

983153 REGULAR ADULT $40 $75Online access to Chess Life

SENIOR $40 $7565 and over printed Chess Life

PREMIUM YOUNG ADULT $35 $6525 and under at expiration printed Chess Life

REGULAR YOUNG ADULT $26 $4825 and under at expiration online access to Chess Life

PREMIUM YOUTH $30 $5516 and under at expiration 6 printed Chess Life

REGULAR YOUTH $22 $4016 and under at expiration online access to Chess Life

PREMIUM SCHOLASTIC $25 $4513 and under at expiration 6 printed Chess Life Kids

REGULAR SCHOLASTIC $17 $3013 and under at expiration online access to Chess Life Kids

FAMILY PLAN 1 $80 FAMILY PLAN 2 $50See the following page for details on both of our Family Plans

US Chess PO Box 3967 Crossville TN 38557 800-903-USCF (8723) wwwuschessorg

983153 Yes I would like to make the suggested donation of

$10 to support US Chess 501(c)(3) Programs such

as youth scholastic and international activities

MEMBERSHIP DUES $_______________

Other Foreign Postage $_______________

(add $25 per year)

Donation (optional) $_______________

TOTAL ENCLOSED $_______________

Non-US Residents must add annual surcharge

for postage and handling for Chess Life Canada

Mexico No Charge Other Foreign Countries

Must add $25 per year

Please note that membership dues are non-refundable

MEMBER INFORMATION

DUES INFORMATION

PAYMENT

FOR OFFICI L USE ONLY

Affiliate Please print legibly and firmly

Note Affiliates are not agents of US Chess

for any purpose

Name of Authorized Affiliate

Affiliate ID Number

Selling Officerrsquos Name

Date

AFFILIATE COMMISSION $300

EFFECTIVE JAN 1 2016

NEW MEMBER RENEWAL APPLICATION

Please print legibly and firmly with a ballpoint pen

CHECK ONE 983153 NEW 983153 RENEWAL CHECK ONE 983153 MALE 983153 FEMALE

US Chess ID EXP

Name

Address

City

State Zip Code

Phone Date of Birth

E-mail

Do you want to exclude your name from promotional mailings 983153 Yes 983153 No

Do you want to receive information by e-mail 983153 Yes 983153 No

PAYMENT INFORMATION

Send Check or money order payable to US Chess

to PO Box 3967 Crossville TN 38557

To pay by credit card call 800-903-8723 ext 4

Monday-Friday 8am to 5pm CST or go to

uschessorg and click on ldquoJoinrdquo

Each ldquoPremiumrdquo Adult Senior and Premium Young Adult member is entitled to receive a printed copy of Chess Life ldquoRegularrdquo category members receive online only access to Chess

Life Each ldquoPremiumrdquo Youth member is entitled to receive Chess Life bimonthly Each ldquoPremiumrdquo Scholastic member is entitled to receive Chess Life for Kids (CL4K) bimonthly ldquoRegu-

larrdquo Scholastic members receive online access only to CL4K Each member is entitled to have his or her tournament play officially rated to participate in the Annual Membership meet-

ing and to enjoy all other rights and privileges of membership not herein enumerated Members and Affiliates with mailing addresses outside the United States will be charged an

additional fee to cover extra costs MEMBERSHIP DUES ARE NOT REFUNDABLE AND ARE SUBJECT TO CHANGE WITHOUT NOTICE THIS FORM WILL NO LONGER BE VALID IF A

NEW ONE IS POSTED PROOF OF ELIGIBILITY MAY BE REQUIRED Affiliate commissions may not be available for certain memberships processed online

1 YEAR 2 YEAR

1000

7252019 MembershipForm Us Chess

httpslidepdfcomreaderfullmembershipform-us-chess 22

ADULTldquoPremiumrdquo Adult

Includes 12 issues per year of Chess Life and the right to earn a chess rating in

the official national rating system

ldquoRegularrdquo Adult

Includes online access to Chess Life and the right to earn a chess rating in the

official national rating system

YOUNG ADULTldquoPremiumrdquo Young Adult

Includes 12 issues per year of Chess Life and the right to earn a chess rating in

the official national rating system ldquoPremiumrdquo Young Adult members must be

25 years old or less at expiration whether paying for one year or multiple years

ldquoRegularrdquo Young Adult

Includes online access to Chess Life and the right to earn a chess rating in the of-

ficial national rating system ldquoRegularrdquo Young Adult members must be 25 years

old or less at expiration whether paying for one year or multiple years

YOUTHldquoPremiumrdquo Youth

Includes 6 issues per year of Chess Life and the right to earn a chess rating in

the official national rating system ldquoPremiumrdquo Youth members must be 16

years old or less at expiration whether paying for one year or multiple years

ldquoRegularrdquo Youth

Includes online access to Chess Life and the right to earn a chess rating in the

official national rating system ldquoRegularrdquo Youth members must be 16 years oldor less at expiration whether paying for one year or multiple years

SCHOLASTICldquoPremiumrdquo Scholastic

Includes 6 issues per year of Chess Life for Kids and the right to earn a chess

rating in the official national rating system ldquoPremiumrdquo Scholastic members

must be 13 years old or less at expiration whether paying for one year or

multiple years

ldquoRegularrdquo Scholastic

Includes online access to Chess Life for Kids and the right to earn a chess

rating in the official national rating system ldquoRegularrdquo Scholastic members

must be 13 years old or less at expiration whether paying for one year or

multiple years

SENIORSenior

Full membership must be age 65 or over Includes 12 issues per year of Chess

Life and the right to earn a chess rating in the official national rating system

FAMILYFamily Plan 1

Includes parents and their children under age 25 at expiration living in

one household with one address Includes any full-time college student

up to age 25 at expiration even if living away from home Receives

Chess Life and the right to earn a chess rating Receives Chess Life for Kids

if any children under 14

Family Plan 2

Includes only children under age 25 at expiration in the household at the

same address Receives Chess Life and the right to earn a chess rating

Receives Chess Life for Kids if any children under 14

US Chess PO Box 3967 Crossville TN 38557 800-903-USCF (8723) wwwuschessorg

bull The right to play in over-the-board tournaments

on the Internet and through the mail

bull The right to earn a national rating

bull A subscription to our world-famous magazinesChess Life or Chess Life for Kids whichever applies

via either a print copy or online access depending

on membership type

bull Contact with local chess clubs

bull For multiple-year memberships member must

remain within age restriction category for the

entire life of the membership

bull All purchases from USCF Sales support US Chess

and its mission to promote the game of chess

bull US Chess is your lifeline to the chess community

bull Receive special invitations to participate in US Chessprograms and events

bull Affinity relationships provide discounts for

US Chess members only

bull All rates are subject to change

bull All printed material sent surface mail

Airmail rates available on request

MEMBERSHIP CATEGORIES

CURRENT MEMBERSHIP BENEFITS amp OTHER INFORMATION

NEW MEMBER RENEWAL APPLICATION

MEMBERSHIP DUES ARE NOT REFUNDABLE

Page 2: MembershipForm Us Chess

7252019 MembershipForm Us Chess

httpslidepdfcomreaderfullmembershipform-us-chess 22

ADULTldquoPremiumrdquo Adult

Includes 12 issues per year of Chess Life and the right to earn a chess rating in

the official national rating system

ldquoRegularrdquo Adult

Includes online access to Chess Life and the right to earn a chess rating in the

official national rating system

YOUNG ADULTldquoPremiumrdquo Young Adult

Includes 12 issues per year of Chess Life and the right to earn a chess rating in

the official national rating system ldquoPremiumrdquo Young Adult members must be

25 years old or less at expiration whether paying for one year or multiple years

ldquoRegularrdquo Young Adult

Includes online access to Chess Life and the right to earn a chess rating in the of-

ficial national rating system ldquoRegularrdquo Young Adult members must be 25 years

old or less at expiration whether paying for one year or multiple years

YOUTHldquoPremiumrdquo Youth

Includes 6 issues per year of Chess Life and the right to earn a chess rating in

the official national rating system ldquoPremiumrdquo Youth members must be 16

years old or less at expiration whether paying for one year or multiple years

ldquoRegularrdquo Youth

Includes online access to Chess Life and the right to earn a chess rating in the

official national rating system ldquoRegularrdquo Youth members must be 16 years oldor less at expiration whether paying for one year or multiple years

SCHOLASTICldquoPremiumrdquo Scholastic

Includes 6 issues per year of Chess Life for Kids and the right to earn a chess

rating in the official national rating system ldquoPremiumrdquo Scholastic members

must be 13 years old or less at expiration whether paying for one year or

multiple years

ldquoRegularrdquo Scholastic

Includes online access to Chess Life for Kids and the right to earn a chess

rating in the official national rating system ldquoRegularrdquo Scholastic members

must be 13 years old or less at expiration whether paying for one year or

multiple years

SENIORSenior

Full membership must be age 65 or over Includes 12 issues per year of Chess

Life and the right to earn a chess rating in the official national rating system

FAMILYFamily Plan 1

Includes parents and their children under age 25 at expiration living in

one household with one address Includes any full-time college student

up to age 25 at expiration even if living away from home Receives

Chess Life and the right to earn a chess rating Receives Chess Life for Kids

if any children under 14

Family Plan 2

Includes only children under age 25 at expiration in the household at the

same address Receives Chess Life and the right to earn a chess rating

Receives Chess Life for Kids if any children under 14

US Chess PO Box 3967 Crossville TN 38557 800-903-USCF (8723) wwwuschessorg

bull The right to play in over-the-board tournaments

on the Internet and through the mail

bull The right to earn a national rating

bull A subscription to our world-famous magazinesChess Life or Chess Life for Kids whichever applies

via either a print copy or online access depending

on membership type

bull Contact with local chess clubs

bull For multiple-year memberships member must

remain within age restriction category for the

entire life of the membership

bull All purchases from USCF Sales support US Chess

and its mission to promote the game of chess

bull US Chess is your lifeline to the chess community

bull Receive special invitations to participate in US Chessprograms and events

bull Affinity relationships provide discounts for

US Chess members only

bull All rates are subject to change

bull All printed material sent surface mail

Airmail rates available on request

MEMBERSHIP CATEGORIES

CURRENT MEMBERSHIP BENEFITS amp OTHER INFORMATION

NEW MEMBER RENEWAL APPLICATION

MEMBERSHIP DUES ARE NOT REFUNDABLE