INSCRIPTION
FORM FOR THE
BETHUNE INTERNATIONAL OPEN
from 26th to 30th December 2007
Salle Olof Palme, Commercial center La Rotonde
(To print and send with your payment
to Gerard
BOSCH 412, rue du pre 62131 DROUVIN LE MARAIS, 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 1700)
O Tournament B (only for players whose ELO rating
is strictly under 1900)
Inside
a cheque of : .............................. euros
ordered to Association Echephile Bethunoise
Inscription
cost: (for information 1 $ (US dollar) = 0.70 € (euros))
- Adults : 40 euros
- youngsters (under 20 years old) : 20 euros
- GM, IM and FIDE Masters : Free