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Player Name*
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Address*
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Phone*
Email*
Date of Birth*
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Is the Player a USCF Member?*
Free Membership Provided for Students in Grades K-12!
- Yes
- No, and I understand if I am an adult player I am responsible for acquiring a USCF membership
- No, and I would like to purchase or renew my USCF membership now
Are you purchasing a new membership, or are you renewing a previous membership?
- Purchasing a new membership (not previously a USCF member)
- Renewing (previously a USCF member)
USCF ID#
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- Senior (Age 65 and over)
- Young Adult (Under 24 at expiration)
Total
$0.00
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