NEw MEMBEr / rENEwal aPPlICaTION

EFFECTIVE JAN 1, 2016

MEMBER INFORMATION PAYMENT

q
Please print legibly and firmly with a ballpoint pen.
Yes, I would like to make the suggested donation of
CHECK ONE: q NEW q RENEWAL CHECK ONE: q MalE q FEMalE $10 to support US Chess, 501(c)(3), Programs such
as youth, scholastic and international activities.

q MEMBERSHIP DUES:
US Chess ID: EXP
$_______________
Name
q Other Foreign Postage** $_______________
address (add $25 per year)

q Donation (optional)
10.00
$_______________

City
TOTAL ENCLOSED: $_______________
State Zip Code

** Non-U.S. residents must add annual surcharge

Phone Date of Birth for postage and handling for Chess Life. Canada/
Mexico: No Charge Other Foreign Countries:
E-mail Must add $25 per year

q q
Please note that membership dues are non-refundable.
Do you want to exclude your name from promotional mailings? Yes No

Do you want to receive information by e-mail? q Yes q No

PAYMENT INFORMATION
DUES INFORMATION
Each of our membership categories are summarized below; please see over page for full details. Send Check or money order payable to US Chess
to PO Box 3967, Crossville, TN 38557

q PREMIUM ADULT
1 YEAR 2 YEAR
To pay by credit card call 800-903-8723 ext. 4,
Receive printed Chess Life magazine monthly $49 $95 Monday-Friday 8am to 5pm CST or go to
uschess.org and click on Join
q REGULAR ADULT $40 $75
Online access to Chess Life

q SENIOR $40 $75

65 and over, printed Chess Life FOR OFFICIAL USE ONLY
aliate: Please print legibly and rmly.
q PREMIUM YOUNG ADULT $35 $65 Note: aliates are not agents of US Chess
for any purpose
25 and under at expiration, printed Chess Life

q REGULAR YOUNG ADULT $26 $48 Name of authorized affiliate

25 and under at expiration, online access to Chess Life

q PREMIUM YOUTH $30 $55

16 and under at expiration, 6 printed Chess Life affiliate I.D. Number

q REGULAR YOUTH $22 $40

16 and under at expiration, online access to Chess Life
Selling Officers Name

q PREMIUM SCHOLASTIC $25 $45

13 and under at expiration, 6 printed Chess Life Kids

q REGULAR SCHOLASTIC
Date
$17 $30
13 and under at expiration, online access to Chess Life Kids

q FAMILY PLAN 1 $80 q FAMILY PLAN 2 $50 AFFILIATE COMMISSION: $3.00

See the following page for details on both of our Family Plans

Each Premium Adult, Senior, and Premium Young Adult member is entitled to receive a printed copy of Chess Life. Regular category members receive online only access to Chess
Life. Each Premium Youth member is entitled to receive Chess Life bimonthly. Each Premium Scholastic member is entitled to receive Chess Life for Kids (CL4K) bimonthly. Regu-
lar Scholastic members receive online access only to CL4K. Each member is entitled to have his or her tournament play officially rated, to participate in the Annual Membership meet-
ing, and to enjoy all other rights and privileges of membership not herein enumerated. Members and Affiliates with mailing addresses outside the United States will be charged an
additional fee to cover extra costs. MEMBERSHIP DUES ARE NOT REFUNDABLE AND ARE SUBJECT TO CHANGE WITHOUT NOTICE. THIS FORM WILL NO LONGER BE VALID IF A
NEW ONE IS POSTED. PROOF OF ELIGIBILITY MAY BE REQUIRED. Affiliate commissions may not be available for certain memberships processed online.

US Chess, PO Box 3967, Crossville, TN 38557 800-903-USCF (8723) www.uschess.org

 NEw MEMBEr / rENEwal aPPlICaTION
MEMBERSHIP CATEGORIES
ADULT
Premium Adult
Includes 12 issues per year of Chess Life and the right to earn a chess rating in
the official national rating system.
Regular Adult
Includes online access to Chess Life and the right to earn a chess rating in the
official national rating system.
YOUNG ADULT
Premium Young Adult
Includes 12 issues per year of Chess Life and the right to earn a chess rating in
the official national rating system. Premium Young Adult members must be
25 years old or less at expiration, whether paying for one year or multiple years.
Regular Young Adult
Includes online access to Chess Life and the right to earn a chess rating in the of-
ficial national rating system. Regular Young Adult members must be 25 years
old or less at expiration, whether paying for one year or multiple years.
YOUTH
Premium Youth
Includes 6 issues per year of Chess Life and the right to earn a chess rating in
the official national rating system. Premium Youth members must be 16
years old or less at expiration, whether paying for one year or multiple years.
Regular Youth
Includes online access to Chess Life and the right to earn a chess rating in the
official national rating system. Regular Youth members must be 16 years old
or less at expiration, whether paying for one year or multiple years.
CURRENT MEMBERSHIP BENEFITS & OTHER INFORMATION
The right to play in over-the-board tournaments,
on the Internet, and through the mail.
The right to earn a national rating.
a subscription to our world-famous magazines,
Chess Life or Chess Life for Kids, whichever applies
via either a print copy or online access depending
on membership type.
Contact with local chess clubs.
For multiple-year memberships, member must
remain within age restriction category for the
entire life of the membership.
M EM BEr S HI P D U ES a r E N OT r EF U N Da Bl E.
US Chess, PO Box 3967, Crossville, TN 38557
SCHOLASTIC
Premium Scholastic
Includes 6 issues per year of Chess Life for Kids and the right to earn a chess
rating in the official national rating system. Premium Scholastic members
must be 13 years old or less at expiration, whether paying for one year or
multiple years.
Regular Scholastic
Includes online access to Chess Life for Kids and the right to earn a chess
rating in the official national rating system. Regular Scholastic members
must be 13 years old or less at expiration, whether paying for one year or
multiple years.
SENIOR
Senior
Full membership; must be age 65 or over. Includes 12 issues per year of Chess
Life and the right to earn a chess rating in the official national rating system.
FAMILY
Family Plan 1
Includes parents and their children under age 25 at expiration living in
one household with one address. Includes any full-time college student
up to age 25 at expiration even if living away from home. Receives
Chess Life and the right to earn a chess rating. Receives Chess Life for Kids
if any children under 14.
Family Plan 2
Includes only children under age 25 at expiration in the household at the
same address. Receives Chess Life and the right to earn a chess rating.
Receives Chess Life for Kids if any children under 14.
all purchases from USCF Sales support US Chess
and its mission to promote the game of chess.
US Chess is your lifeline to the chess community.
receive special invitations to participate in US Chess
programs and events.
affinity relationships provide discounts for
US Chess members only.
all rates are subject to change.
all printed material sent surface mail.
airmail rates available on request.
800-903-USCF (8723) www.uschess.org