WESTERN PROVINCE OPEN 2019
REGISTRATION FORM

Date:
-25th Saturday & 26th Sunday May 2019
Venue:
-tba
Map
-tba

Sections Open for Registration

BANKING DETAILS
ACCOUNT NAME: Chess Western Province
BANK NAME: STANDARD BANK
ACCOUNT NUMBER: 070 157 359
BRANCH CODE: 020 009
SWIFT CODE: SBZAZAJJ

Please email proof of payment to : fin@chesswesternprovince.co.za

Payments can also be done at the venue.

Please answer all the questions & complete one form per player.

Email address *
Section? *
Please select the relevant playing section
Required
Surname *
Your answer
First Name(s) *
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Residential Area
In which area or suburb do you live? e.g. Stellenbosch?, Somerset West?, Durbanville?, Grassy Park?
Your answer
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