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The Goals and Activities of the Qigong Institute are achieved with the
help of many volunteers and the support of people interested in qigong.
Please help us continue our efforts to make the merits of qigong known the
medical practitioners, scientists, policy makers, and the public. Contributions
and memberships help. Membership Application to the Qigong Institute I wish to become a member of the Qigong Institute to support its programs and receive discounts to designated events and products. The annual fees are: ______ $40 Regular member ______ $25 Student member ______ Donation TOTAL ENCLOSED (US currency only) $ ________________ Please make checks payable to the Qigong Institute and mail to : Qigong Institute, 561 Berkeley Ave., Menlo Park, CA 94025 Name ____________________________________________________________ Address __________________________________________________________ City ________________________________ State _______Zip ______________ Phone: __________________________ email: ____________________________ Credit Card (circle): MasterCard / Visa / Discover / American Express Card Number: _________________________ Expiration Date: _______________ Note: Members of the Qigong Institute are entitled to receive a 20% discount on their purchase of the The Qigong and Energy Medicine Database™. Please note that you are a member on your Database order form. |