Diana Tulman
28 Canterbury Lane
New Milford, NJ 07646
Dr David Ostfeld Memorial ICA Open Championship Sunday, February 10, 2013
Bergen Academy 200 Hackensack Avenue Hackensack NJ
ENTRY FORM
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TOTAL ENCLOSED $________
Entry and membership checks should be made out to International Chess Academy
Mail entry to Diana Tulman, 28 Canterbury Lane, New Milford, NJ 07646
For more information call: (201) 287-0250 or (201) 833-1741