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CTJC Annual Membership
You may give your membership dues to your instructor, Steve Long or Suzanne Long
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Name
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Email
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Address
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Phone
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Occupation
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Today's Date:
*
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Birthday
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Tai Ji Class
*
Seated/Progressive/Wheelchair
Yang Style Standing 7/Linking
Yang Style 24 Form
Yang Style Sword Form
Competition 42 Form
Chen Style 36 Form
Xing Yi Quan
Required
Instructor(s)
*
Master Zibin Guo
Master Ziwei Guo
Steve Long
Dr. John Johnson
Tag George
Karen Wilson
Beth Herring
Jami Lowery
Dr. Chang Phoung
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CTJC Membership
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Individual $20
Couple $35
Senior or Student $15
If couple, please list partner's name
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Previous Martial Arts Experience
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Reason(s) for studying
or inquiring
about Taiji
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