Our club's name is: [Insert name.]

Our meetings are held at: [Insert name and address of location.]

For a logo, our club our club would like to use: [Write whether you are attaching your own logo, or if you'd like to use the GRAYSCALE or BLACK & WHITE prepared logos.

Contact information: [Insert any telephone numbers, email addresses or web sites you wish to have listed.]

Days and times for our meetings: [If you wish to list this information.]

The target group for our members: [If you wish to list this information -- for example, students in certain grades or of a certain age.]

The primary sponsor of our club's events: [If you wish to list this information.]

Our club's motto: [If you have one and would like to have it listed.]

The target group for our members: [If you wish to list this information -- for example, students in certain grades or of a certain age.]

[If you wish to have your club information expressed in a few brief paragraphs, please add that material here. If not, provide information about any of the following items that you'd like to have listed in outline form.]

Club dues:

Type of chess instruction available to members:

Activities offered: [e.g., tournaments, field trips]

Club affiliations:

Any brief club history or philosophy that you'd like to include: