Registration Form
Thomas E. Hartmayer Memorial
Please Fill in the Form Below and Send by Mail, with check, to Jan van de Mortel
Open ______ U1825 ________
Name: Last_____________________________________, First____________________________
Address: Street________________________ City/Town___________________ State___ Zip_____
E-Mail Address_________________________________________
Phone____________________
Byes: Rounds 1-4 (no last round byes) BYES ROUND _______
Fee: $60 if received by 06/04/16; $80 cash onsite.
TOTAL PAID_____________
United State Chess Federation Membership (USCF) REQUIRED.*
USCF MEMBERSHIP #____________________ USCF RATING _____________________
If not a USCF member, you must join, see link below.*
*US Chess Federation (USCF) Membership REQUIRED to play in this Tournament.
https://new.uschess.org/join-uschess/
*Please Print and make check payable to Jan van de Mortel, 233 Hanks Hill Road, Storrs, CT 06268
June 5 Thomas E. Hartmayer Memorial (20Grand Prix Points)
5SS, G40d5, Castleman Building, University of Connecticut, 261 Glenbrook Road, Storrs CT, 06269. $2,500 guaranteed prizes. Sections: Open $500 (+$100 clear 1st bonus) $300 $200 $150; 1st U2225-$150, 1st U2025-$150; U1825 $300-$200-$150-$100; 1st U1625-$100, 1st U1325 $100. EF:$60 if received by 6/4/16; $80 cash onsite (8:15-9am). Byes: Rounds 1-4 if requested by 9am. Questions: Jan van de Mortel at 860-617-7584 or jvdmortel@yahoo.com