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Name: ______________________________________________________________________________
Joint Member: _________________________________________________________________________
Address: _____________________________________________________________________________
City: ____________________________________________
State: ________ Zip: __________________
Telephone: ____________________________
Email address: __________________________________
Date: ______________
I learned of Yama Ki from: ____________________________________________
First year dues:
$35 Individual OR $50 Joint (Family) Membership
Level: I am: a
Beginner OR Experienced
Please contact
me with information about the next meeting. I would like to observe.
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