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Date of Birth
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Emergency Contact
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Emergency Contact Phone
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Membership Level
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Regular ($600 annually or $50/month)
Student/Underemployed ($120 annually or $10/month)
I understand that by registering as a member of the Chicago Zen Center I am committing to keeping my membership dues current. I am also acknowledging that I may be contacted by the Center's Business Manager should my dues lapse in order to ascertain my interest in continuing membership with the Center.
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