Name: _____________________________________________
Address: _____________________________________________
_____________________________________________
_____________________________________________
ICU Code: ___________ Date of Birth (only if under 18): __________
Contact numbers: Home: ________________ Mob: _________________
E-mail address: ______________________
I wish to become a member of the Limerick Chess Club for the season 2025-2026 and I agree to abide by the rules of the Club as agreed at the most recent A.G.M.
| Club Members fee | Adult | 60 Euro | |||
| Under 18 | 30 Euro | ||||
| Adult members children | Free | ||||
| Tennis Pavillion Member | 100 Euro | ||||
| ICU fee Adult | 35 Euro | ||||
| Total due: |
Signed: _________________________ Date: ____________________