2020 Zhong Xin Dao / I Liq Chuan Intensive RSVP
TOPIC: TBD

Rates in USD:
$350 Full Workshop
$250 Two Days
$150 Single Day
$50 Monday ONLY

Event Address:
Hyatt House
100 Westage Business Center Drive
Fishkill, NY 12524

Contact us at (914) 263-6786 or yen@iliqchuan.com

*As part of our give back initiative, we are donating 10% of profit to a non-profit organization to help support the community.
Email address *
Full Name *
Gender *
Date of Birth
MM
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DD
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YYYY
Phone Number *
Please provide a number best for us to reach you at
Location (State & Country) *
Please tell us a little bit of yourself, where are you coming from?
Profession
Is this your first time attending? *
Days of attendance *
Student Membership Expiration Date DD/MM/YY (Please enter LIFE if you're a life member) *
Instructor License Expiration Date DD/MM/YY
Please enter "N/A" if not applicable
Name of your instructor *
Your student level *
Your instructor level *
Do you need to renew your student membership? *
You may renew at the Intensive: Yearly membership renewal fee $60 / Lifetime membership fee $600
Do you need to renew your instructor license?
You may renew at the Intensive: Yearly instructor license renewal fee $150
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Are you interested in grading? *
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