Health Qigong Canada Association(HQCA)

中文

New Member Registration

Please submit your registration below, or you can download the form here Word or PDF Please fill all items with *
*First Name:
*Last Name:
*Gender:	Male Female
Profession:
*Email :
*Phone :
Address :
*City :
*Post code :
*Province :
From where you heard us :
What you want to learn :	Ba Duan Jin Yi Jin Jing Other Wu Qin Xi Liu Zi Jue
*Years of Membership:	One($20) Two($40) Three($50)
Comment:
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