2004 Los Angeles Open
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Entry Form
Name_________________________________ USCF ID ____________ Rating ______
Address________________________________________________________________
City_____________________________________________ State _____ ZIP ________
Section
Championship ........................ $81 by credit card, $79 by mail_____
Premier (Under 1900) ............. $81 by credit card, $79 by mail_____
Reserve (Under 1500) ............. $66 by credit card, $64 by mail_____
Hexes .................................... $20 _____
Scholastic .............................. $16 _____USCF membership ................. $ _______
SCCF membership ................. $ _______Total enclosed ...................... $ _______
Schedule
3-day 2-dayBye (limit 1)
round 1 round 2 round 3Make checks payable to SCCF
Mail entries to:
SCCF, c/o John Hillery
835 N. Wilton Place #1
Los Angeles CA 90038