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T'ai Chi Chih Membership Form

Please print this form, fill it out, make check payable to T'ai Chi Chih Association and send it to:
T'ai Chi Chih Association, Scottsdale Village, 3107 Eubank NE, Suite 19, Albuquerque, NM 87111


Membership

Renew
Begin

Membership Level

Basic $40/year
Anchor $_________donation + $40 membership
Circle $_________ pledge each month
Gift Donation for an acquaintance*
Membership Information
Name:   Date:     /      /
Address:  

 

City, State Zip  
Phone(s):  
E-mail:  
*Gift memberships: please include name, address and phone number of recipient

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