Re-registration
Only complete this form if you are already registered as a member and we have all your details.

Please complete all the fields and email proof of payment to chessclubcenturion@gmail.com (Payment options can be found here: http://www.centurionchessclub.co.za/home/payments)

Name and Surname *
Your answer
Membership Type *
Comments (Please specify any changes to details provided with Membership Registration, e.g. Address change, Phone number etc.)
Your answer
I commit myself to the principles, rules and regulations contained in the Constitution of the Centurion Chess Club: http://www.centurionchessclub.co.za/home/membership/constitution *
Required
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