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USVICA Membership Application Form
United States Virgin Islands Chess Association membership application form. Once filled out, you may pay the first year dues of $5 to Gail Widmer in St. Croix or Sinclair Wilkinson in St. Thomas.
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* Indicates required question
Name
*
Your answer
Email (double check that this is correct)
*
Your answer
Phone Number
*
Your answer
Mailing Address
*
Your answer
Physical Address
*
Your answer
Were you or your parents born in the USVI?
*
Yes
No
Number of years residing in the USVI
*
Your answer
Are you a permanent resident of the USVI?
*
Yes, for 1 year
Yes, for 2 years
Yes, for 3+ years
No
Are you a member of a chess club?
*
Yes
No
If yes, what's the name and location of the chess club?
Your answer
Have you ever played in a chess tournament?
Yes
No
Clear selection
How would you rate yourself as a chess player?
Beginner
Intermediate
Advanced
Clear selection
If you have a rating, please enter that rating.
Your answer
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