Southern Suburbs Chess Club

Membership Form for 2022

www.southernsuburbschessclub.org.au
www.facebook.com/PerthSSCC

Given Name(s):
Surname:
Address:

Date of Birth (Day/Month/Year):

Phone:
Email:

Membership Fee:

To 31 December 2022: (apply $10 discount to the following fees if joining after 30/06/2022)

Standard:
$90 (CAWA non-members), $60 (CAWA members)
Concession: Seniors (players born in 1962 or earlier) or full-time students
$80 (CAWA non-members), $50 (CAWA members)
Junior: (players born in 2004 or later)
$60 (CAWA non-members), $40 (CAWA members)

Each member of Southern Suburbs Chess Club is automatically granted membership of the
Chess Association of Western Australia.
To join, submit your membership form to the Secretary (Ian McAteer, 0403 776 220), either
by email (sscc_members@outlook.com) or in person at any club session. Submitted
membership forms must be accompanied by the correct membership fee.
Payment Options:

Cash Bank Transfer

Pay your membership fee to Pay fees to Southern Suburbs

the Secretary or President in Chess Club (BSB: 066173, A/C:
person, at any club meeting. 10402128), and send a copy of
your payment confirmation to
the Secretary or President.
Declaration:
I support the purposes of the Southern Suburbs Chess Club and agree to comply with its Constitution
and By-Laws.
I authorise Southern Suburbs Chess Club to disclose, if it is required to do so, the information provided
above to any body with which it has dealings (including, but not limited to, the CAWA Executive, the
Australian Chess Federation, government departments, banks, club/tournament venues).

Signed: Date: