CJTC Membership Registration Form
You may give your membership dues to your instructor, Suzanne Long or mail to CTJC P.O. Box 1014 Hixson, TN 37343
Name *
Your answer
Phone
Your answer
Email *
Your answer
Address
Your answer
Date
MM
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DD
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YYYY
Birthday (optional)
MM
/
DD
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YYYY
Taiji Class
Instructor
If you are currently enrolled in a class
Comments
Questions and comments here
Your answer
CTJC Membership *
If couple, add partner's name
Your answer
Reason(s) for studying and/or inquiring about taiji
Your answer
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