Deyin Membership Application/Renewal
Please enter the details below, then click 'Continue' to go to the Confirmation page. Entry titles marked with an asterisk * are required.
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Your Details
First Name *
Last Name *
Email *
Address 1 *
Address 2
Town
Region/County
Post Code *
Country
Phone
Gender
T-shirt size
Name of Your Teacher
Training Period
Number of years/months you have been training
or the month and year your training began
Additional Info
Payment Details
Membership Type *
Please note all memberships expire on 30th
September each year. Members are asked to
renew their membership each September
Payment Method *
Bank Transfer Details
Bank: Natwest
Name: Deyin Taijiquan Institute
Sort Code: 600330
Acc. No: 79613411
Please use your Name as the Transfer Reference
and please inform us once payment is made
Cheque Account & Address
Deyin Taijiquan Institute
Unit E4
Stafford Park 15
Telford TF3 3BB
Billing Total £
Payment Total £
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