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YANG STYLE LONG FORM

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WCCChenTCC UpdatesPerson was signed in when posted
07-21-2017
02:42 AM ET (US)
2017 YANG LONG FORM - 132 MOVEMENTS with WILLIAM C. C. CHEN
                (Th) 5:30pm – 6:30pm

HELD ON DESIGNATED DATES AS INDICATED
$312.00 + $40.00 (12 Class Tuition + Membership Registration)
---YANG LONG FORM
AUG. 10, 17, 31 SEP. 7, 14, 21, 28 OCT 5, 12, 19, 26 11/2 
---LONG FORM REVIEW 
$214.00
NOV 9, 16, 30 DEC 7, 14, 21, 28 JAN 7, 2018 
1
WCCChenTCC UpdatesPerson was signed in when posted
07-21-2017
02:31 AM ET (US)
P R I N T or T Y P E - BILLING ADDRESS
Name
                                            
Address
                                                  
City / State / Country

home #
                                             cell #
   
    Visa [ ] MasterCard [ ]
 
Account # -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -
                     
Expiration: Month _____ Year _____ 3 Digit Code: __ __ __

Today's Date _______________ I authorize the amount of $ ____________

 
  X_________________________________________________________
                 Sign and Print full name

----------------------------------------------------------- --------------------
Class Date and Time - (Th) 5:30pm to 6:30pm -- On designated dates only --
---------------------------------------------------------- -----------------
Class(es) for:

INSTRUCTOR: William C. C. Chen
------------------------------------------------------------ - -----------------
Location
William C.C. Chen Tai Chi Chuan, Inc. - 1 East 28th Street - 7th floor - New York, NY 10016
ph: 212-675-2816

------------------------------------------------------------ -------------------
Option 1 --- Scan & Email completed copy of this form to WmCCChen@aol.com
Option 2 --- www.Paypal.com make payment to email: pslwsv@aol.com


To see footage of the complete Long Form streaming online, 24/7 at: http://contentgalaxy.com/video/tai-chi/wil...chen?af=WilliamChen

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