Membership Checkout - Chess Association of Queensland

Membership Information

You have selected the Family Members (Free With Group Code) membership level.

The price for membership is $0.00 now.

Group Code

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Member First Name

Member Last Name

Sex

Phone

Date of Birth

ACF ID (If Known)

Residency

Visa Number

Club Affiliation

If you don't attend a club, then please choose Associate.

Number of Seats

Choose the number of seats to purchase. You can purchase between 0 and 10 seats.

Group members will be able to claim the following membership levels: CAQ Membership - Family 1 Year, CAQ Membership - Family 3 Years.

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

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