2010 Awards Entry Cover Sheet

PLEASE PRINT CLEARY AND LEGIBLY
One cover sheet per each entry you are submitting

Your Name:

Your e-mail address:

Your mailing address:

Category:

Headline of entry:

Name of publication the entry appeared in:

If entry is found in Chess Life or Chess Life for Kids, which month/year?

If the entry is found online, what is the URL where the entry can be found at:

I have enclosed a check or money order payable to Chess Journalists of America in the amount of:

Sponsoring CJA Member (Optional):

Are you a Life Member exercising your right to one free entry?

Yes No

Checklist

a check or money order made payable to Chess Journalists of America
an awards entry cover sheet
tear sheets of the entry itself (if not published in Chess Life or Chess Life for Kids)
or copies of magazines where applicable
Now print this page and mail it to the following address: Ramon A. Hernandez; 1996 Anthony Avenue; Apartment #2B; Bronx, NY 10457-3911