Midwest Class Championships, Oct 15-17 or 16-17

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Player's name: USCF ID no. (or "new" or "pending"): Section: Master, $105 by 10/12 Expert, $105 by 10/12 Class A, $105 by 10/12 Class B, $105 by 10/12 Class C, $105 by 10/12 Class D, $105 by 10/12 Class D, unrated player, $55 by 10/12 Class E, $55 by 10/12 Schedule: 3-day schedule, Master through Class D 2-day schedule, Master through Class E Oct 2010 official rating (approx. OK): USCF expiration date (join here if not current): USCF membership, US/Canada/Mexico resident: 1 year Adult with Chess Life, $30 1 year Young Adult under 25 with Chess Life, $20 1 yr under 13, bimonthly ChessLifeForKids, $15 Foreign 1 yr Adult with Chess Life, $55 Foreign 1 yr Young Adult with Chess Life, $45 ICA memb, required for rated Illinois residents: Special 1 yr Adult ICA, $11 Special 1 year scholastic ICA, $6 Date of birth, if unrated or paying USCF dues: Player's address: Player's email address, for our mailing list: Guest room at hotel: Staying at hotel, not sharing with another player Staying at hotel, sharing with another player Not staying at hotel

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