C&O Family Chess Center Omar Pancoast III, Director Certified USCF Chess Coach 217 West Diamond Ave. Gaithersburg, MD 20877 (301) 963-9122 / OPancoast3@chesscenter.net www.chesscenter.net Chess Center Memberships C&O Family Chess Center offers memberships for individuals and families interested in chess education, competition, and support of chess activities in this area. Benefits of membership will include discounts on lessons, tournament entry fees, books and equipment, and regular USCF Memberships. Members will also have free borrowing privileges for the center’s extensive chess library (more than 200 books, magazines, and other materials), and free club ratings. In addition there will be events for members only, such as (possibly) master classes, advanced classes on DVD, and the annual club championship and barbeque. Of course all members may still play at the Lakeforest Mall club for free and will be issued a key to the equipment storage locker if they wish. Scholastic Membership Dues (K-8): $40 per year Adult Membership Dues: $60 per year (seniors $40) Family Membership Dues: $80 per year Memberships will run for the calendar year. Memberships paid after March will be pro-rated as follows: Purchase Date April-June: S-$35; A- $50; F-$65 Purchase Date July-Sept.: S-$30; A- $40; F-$50 Purchase after Oct. (includes next full year): S-$50; A- $70; F-$90 (Revised 02/23/06) ----------------------------------------------------------------------- C&O Family Chess Center Membership Application: Detach and mail to C&O Family Chess Center 217 West Diamond Ave. Gaithersburg, MD 20877 Type of Membership Requested: ___Scholastic Membership (K-8): $40 per year ___Adult Membership: $60 per year ___Family Membership: $80 per year ___Senior (age 55 or over) Membership: $40 per year Member dues are payable by cash, or check payable to C&O Family Chess Center (After April 1st calculate pro-rated dues using current information sheet or website information). ___Benefactor Member - I have enclosed an extra gift of $_______ Applicant’s Name:__________________________D.O.B.:_________ Home Address:_____________________________________________ Home Phone:________________ e-mail:________________________ Scholastic Applicants: School:________________________________________ Grade:______ Family Memberships (List Other Family Members): Name:___________________________________D.O.B.:___________ Name:___________________________________D.O.B.:___________ Name:___________________________________D.O.B.:___________ Name:___________________________________D.O.B.:___________ USCF Members: Membership No. & Exp.:______________________________________