Registration for 2018 Spring CLTA-VA Workshop
Date: March10,Saturday
Location: Cafeteria, George Mason High School
7124 Leesburg Pike Falls Church VA 22043

This workshop, including breakfast, lunch and refreshments, will be free for current CLTA-VA members. Please fill out this registration form by March.1.
If you are not a member yet, or if your membership has expired, please join us, and start enjoying the benefits of two free workshops per year, plus more. To join or to renew, please fill out this form, then make your membership payment on our website ( by Paypal, or mail a check to CLTA-VA c/o Xiaojin Moore, 1727 Sage Ln, Blacksburg, Va 24060. Membership fees are as follows: standard one year, $25; standard two-year, $45; standard one-year student $10; life membership $150. Please send any inquiries to

Email address *
Are you CLTA-VA member? *
Will you attend the workshop on site or online? *
Given Name *
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Family Name *
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Chinese Name *
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Address *
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City *
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State *
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Zip Code *
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Phone Number *
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E-Mail: *
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School Name *
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Please check all appropriate boxes: *
Lunch Options *
A copy of your responses will be emailed to the address you provided.
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