Mail-in Registration Form for:

Name: First _________________________ Last __________________________________

Address: _________________________________City: ________________ Prov:____________

Postal Code: ________________ E-mail address: __________________________________

Method of payment: cheque enclosed Yes: ____ (Do not mail cash)

VISA or Mastercard #: _____________________________ expiry:_______

Amount:__________

Signature: ________________________________________________

Indicate tournament:

( ) 2007 CYCC: ___ Boy/Girl: ________ Age as of Jan 1/07:_________

( ) 2007 Canadian Open Chess Championship: _____

Mail to: The Chess Federation of Canada, 2212 Gladwin Cres, E-1, Ottawa, ON, K1B 5N1, CANADA

Players for these events may use VISA or Mastercard to register online at http://www.chess.ca , or by phone by calling 1-800-563-4476 (the Chess Federation of Canada's toll-free line), or by mail, giving a credit card number or enclosing a cheque payable to the Chess Federation of Canada.