Louisiana Chess Association Membership Form
Membership in the LCA is required to participate in LCA sanctioned events.

 

Name: _______________________________________________________________________

USCF ID Number: ________________________Expiration Date: ________________________

Address: ____________________________________________________________________

Phone: ______________________________________________________________________

Email:  ______________________________________________________________________

[  ] I want to join the LCA mailing list to receive Louisiana chess news, tournaments, and events via email
[  ] I do not wish to join your mailing list

Please check one:

[  ] Adult ($15)
[  ]
Scholastic ($5)

[  ] Family ($25)

Please make checks payable to:
Louisiana Chess Association,
1301 General Taylor St., New Orleans, LA 70115