中大西洋桃李中文教育者学会                                        TAOLI Chinese Language Educators in the Mid-Atlantic
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Membership Renewal
1.  Last Name *
2.  First Name *
3.  中文姓名 (in Chinese Characters) *
4.  Email Address *
5. Preferred Phone Number *
6.  Mailing Address (including City, State, zip code) *
7. Membership Type *
8a.  School / Institution / Organization *
8b. City, State (of 8a.) *
8c.   Role  / Title *
9. If you are a practicing educator, what level do you teach?
10.  Membership Payment Options *
Membership and Annual Fees:  Effective one year till the end of the month when you join
Thank you for renewing your TAOLI-CLEMA membership.  We are looking forward to see you in the near future.
Please contact us at taoli.clema@gmail.com if you have any questions.
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