INFORMATION : emmanuel.variniac@laposte.net (information and inscription in French only) ; open@bethunechess.com (invitations GM and IM, information in English)
or by telephone MR Francis Bugny : 0033 3 21 61 23 63 (after 7h00 pm)

INSCRIPTION FORM FOR THE
BETHUNE INTERNATIONAL OPEN
from 26th to 30th December 2004
Salle Olof Palme, Commercial center La Rotonde
(To print and send with your payment
to Emmanuel VARINIAC 37, rue Leon BLUM 62940 HAILLICOURT FRANCE)


NAME : ......................................................................................

FIRST NAME : .................................……….....................................

National Rating : ........................ FIDE rating : .............................

Date of birth: …….……….................................................................

Nationality : ...............................................................................

Club : ........................................................................................

Complete address: .......................................................................

..................................................................................................

E-mail : ......................................................................................

According to my ELO rating I want to take part in (tick the right box)
O Tournament A (only for players whose ELO rating is above or equal to 1600)
O Tournament B (only for players whose ELO rating is strictly under 1800)

Inside a cheque of : .............................. euros
ordered to Association Echephile Bethunoise

Inscription cost: (for information 1 $ (US dollar) = 0.90 € (euros))
- Adults : 40 euros
- youngsters (under 20 years old) : 20 euros
- GM, IM and FIDE Masters : Free