THE LOS ANGELES CHESS CLUB 11514 Santa Monica Blvd. LA, CA 90025 (The Most Active Chess Club on the West Coast)
Date: ______CLUB MEMBERSHIP (Required for class attendees – optional for tournament players)
New Renewal (circle membership type and amount)
PLATINUM GOLD SILVER BASIC Membership (basic+24) (basic+12) (basic+6) (1 free annually) Adult $715 $545 $445 $345/ $225/ 6 mo. Junior/ Senior $695 $525 $425 $325/ $195/ 6 mo. Family (all) $995 $825 $725 $625/ $375 6 mo. Life $2,375 $2,195 $2,095 $2,000 Family Life $3,875 $3,695 $3,595 $3,500 Membership comparison 10 membership benefits - see club brochure V V V V
BASIC => Membership + 1 free tourney V SILVER => Basic Membership + 6 tourneys V GOLD => Basic Membership + 12 tourneys V
PLATINUM => Basic Membership + 24 tourneys V Tournament Packages LACC members non- lacc 6 tournaments (1 free) (Major events count as 3) $100 $150 12 tournaments (2 free) (Major events count as 3) $200 $300 24 tournaments (4 free) (Major events count as 3) $380 $600
USCF MEMBERSHIP (Required for tournament players only)
New Renewal (circle membership type and amount) TYPE 1 Yr 2 Yrs Adult $49 ($40) $95 ($75) (incl. 1 monthly Chess Life Magazine) (CL Online only) Prem. Young Adult (U25) $35 ($26) $65 ($48) (incl. 1 monthly Chess Life Magazine) (CL Online only) Prem. Youth (U16) $30 ($22) $55 ($40) (incl. 6 bi-monthly Chess Life issues) (CL Online only) Prem Scholastic (U13) $25 ($17) $45 ($30) (incl. 6 bi-monthly Chess Life for Kids) (CLFK Online only) Family Plan I $80 Parents+children <24 (incl. 1 monthly Chess Life Magazine) Family Plan II $50 Children <24 only (incl. 1 monthly Chess Life Magazine) Senior (65+) $40 $75 (incl. 1 monthly Chess Life Magazine) LIFE $1,500 (incl. 1 monthly Chess Life Magazine) 2 mo. $20 ------
Member Name ______Member’s DOB ______/______/______Guardian’s name ______USCF ID Number (if any) ______Address______Exp Date ______
City/State______Zip ______Rating ______Phone ( ______) ______- ______School (if scholastic) ______Email ______@______(over) Age/Grade ______/______FEES Membership Benefits
LACC Membership $ _____ 1. Free class attendance (3 levels)
st 2. Tournament discounts (1 one free)
USCF Membership $ _____ 3. Free casual games
Tournament Entry Fee $ _____ 4. Library access (free book checkouts)
Saturday or Sunday G/60 $30/$20 $ _____ 5. Monthly club emails Sat / Sun Juniors G/30 $30/$20 $ _____ 6. Free special events & movies Saturday& Sunday G/60 $55/$35 $ _____ 7. One free chess set Saturday Nite Blitz G/5 $20/$15 $ _____ 8. Discounted USCF memberships/Renewals 2-day Memorial Tourney $75/$55 $ _____ 9. Free tournament on your B/D week 10. Free Q&A on all chess topics Private Lessons $ _____
5-Hour Package - Club $790 5-Hour Package - Club $395 5-Hour Package - Offsite $890 MASTER’S RATES 5-Hour Package - Offsite $445 NON-MASTER’S RATES 10-Hour Package - Club $1,490 10-Hour Package - Club $745 10-Hour Package – Offsite $1,590 10-Hour Package – Offsite $795
Chess equipment $ _____
TOTAL $ ______
I agree and abide by the rules and policies of the Los Angeles Chess Club. I understand that membership and private lessons fees are non-refundable after 7 days.
Signature (Member/Guardian) ______Date ______
payment CASH ➔ (5% off – applies to club memberships and private lessons)
Check ➔ (3% off - To: LA Chess Club – applies to club memberships and private lessons) Visa Master Card AMEX
Credit Card No. ______-______-______-______Exp ______Code ______
Print Name ______Signature ______(as it appears on the card)
Telephone ______Billing Zip Code ______
Correspondence: LA Chess Club P.O. Box 251774, Los Angeles, CA 90025 Information: Mick Bighamian (Director) (310) 795-5710 or [email protected] ALL THE INFORMATION PROVIDED WILL BE STRICTLY CONFIDENTIAL, HELD PRIVATE & USED ONLY BY LACC. Rev 08/18