2010 North Munster Individual Chess League

Entry Form

(Please use block capitals)

Name:     _____________________________________________
Address:  _____________________________________________
          _____________________________________________
Club      _____________________________________________ 
ICU Code: ___________  
Contact numbers:    Home: ________________  Mobile:  _________________
E-mail address:     ______________________

Preferred home venue (delete as appropriate):

Ennis

Limerick

Entry fee	Adult	€50
	Junior/OAP	€30

Please forward your entry fee to:

Frank Noonan,

29, Bellevue Court,

Father Russell Rd, Limerick.