ACT Chess Association Membership Application
ACT Chess Association Membership Application
(NB Membership not active until payment is made. Payments can be made at ACT Chess Clubs or ACTCA Events)
Surname *
Your answer
Given Name
Your answer
Postal Address *
Your answer
Email Address
Your answer
I wish to be added to ACTCA Mailing list
Please tick for Yes
Membership Category
Please choose Membership Type
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service