AMERICAN CHESS ASSOCIATION
JOIN
THE ACA
FULL NAME______________________________________________________
STREET ADDRESS_________________________________________________
CITY __________________________________________________________
STATE__________________________________________________________
ZIPCODE________________________________________________________
EMAIL ADDRESS__________________________________________________
BIRTHDATE______________________________________________________
USCF RATING?___________________________________________________
Print this form, fill in the information and send cash, check, or money order in the amount of $1.00 to:
American Chess Association
Attn: Membership Director
3612 North Silver Sand Court
North Las Vegas NV 89032-7688