2020 Zhong Xin Dao / I Liq Chuan Intensive RSVP

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TOPIC: TBD

Rates in USD:
$350 Full Workshop
$250 Two Days
$150 Single Day
$50 Monday ONLY

Event Address:
Hyatt House
100 Westage Business Center Drive
Fishkill, NY 12524

Contact us at (914) 263-6786 or yen@iliqchuan.com

*As part of our give back initiative, we are donating 10% of profit to a non-profit organization to help support the community.

Email *

Full Name *

Gender *

Male

Female

Date of Birth

YYYY

Phone Number *

Please provide a number best for us to reach you at

Location (State & Country) *

Please tell us a little bit of yourself, where are you coming from?

Profession

Is this your first time attending? *

Yes - I have contacted Yen and received recommendation to attend from Master Sam Chin

Days of attendance *

FULL Workshop : $350

Friday & Saturday ONLY (2/14 - 2/15) : $250

Saturday & Sunday ONLY (2/15 - 2/16) : $250

Friday ONLY (2/14) : $150

Saturday ONLY (2/15) : $150

Sunday ONLY (2/16) : $150

Monday ONLY - half day (2/17) : $50

Student Membership Expiration Date DD/MM/YY (Please enter LIFE if you're a life member) *

Instructor License Expiration Date DD/MM/YY

Please enter "N/A" if not applicable

Name of your instructor *

Your student level *

None

Meditation & Philosophy

Your instructor level *

None

Meditation & Philosophy

Do you need to renew your student membership? *

You may renew at the Intensive: Yearly membership renewal fee $60 / Lifetime membership fee $600

Yes

Do you need to renew your instructor license?

You may renew at the Intensive: Yearly instructor license renewal fee $150

Yes

Clear selection

Are you interested in grading? *

Yes

Would like to but need to be evaluated first

Clear form

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