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MISSOURI CHESS ASSOCIATION
Membership Application
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Name:
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Address:
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City,
State, ZIP:
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Telephone:
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E-Mail
Address:
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(required to access MCA Bulletin on the
Web)
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Annual Membership
fees:
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(circle
one)
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Printed
MCB
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MCB
on the Web
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Adult member
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$
12.00
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$
5.00
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Scholastic member
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$
8.00
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$
5.00
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Affiliate
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$
12.00
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$
5.00
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Amount
enclosed:
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Today's
date:
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Comments:
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Send
form to:
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MCA Membership Coordinator,
Nathaniel Fast: 502 Duke Gibson, Kansas City, Missouri 64145
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