Association Membership

12 Month Association Membership Fee - $125

Association Name:

Address:

City:

State:

Website:

Zip Code:

Email:

Phone:
() -

All membership terms begin February 1 and expire January 31 the following year. Associations that enter membership from February through October of that year will be charged full price. Between November 1st and January 21, memberships will be reduced by 50%. A new membership fee will be paid on February 1. Associations of FCKI may have their memberships revolted or denied at any time by Shifu Liu for any reasons. Once a group is removed from membership, they will not be allowed to renew their membership.

Have you hosted a seminar with Shifu Liu Chang-I before?   If Yes,
Besides Feeding Crane, what if any are the other styles of martial arts taught at your school?

Who is your chief instructor or leader?


Please list all locations of each school that will be included in your association membership. If there are only 2 locations, please use the School Membership application (this will also save you money). If schools are listed on this application, no other school membership applications will be needed.

[OPTIONAL]
Name of second location:

Address:

City:

State:

Zip Code:

Email:

Phone:
() -
Who is your chief instructor of this location?


[OPTIONAL]
Name of third location:

Address:

City:

State:

Zip Code:

Email:

Phone:
() -
Who is your chief instructor of this location?


[OPTIONAL]
Name of fourth location:

Address:

City:

State:

Zip Code:

Email:

Phone:
() -
Who is your chief instructor of this location?


By signing below, you agree to become a member of Liu Chang-I's Feeding Crane kung Fu International and will be allowed all the benefits of membership while in good standing. You further agree to the member's Code of Conduct and will follow it to the highest level of discipline and respect. You will attempt to help spread the knowledge of Feeding Crane Kung Fu as it is taught by Shifu Liu Chang-I to others in your area so that our organization will grow to all parts of the world. I further understand that of Liu Chang-I's Feeding Crane Kung Fu International, Shifu Liu Chang-I, or any members will not be held responsible for any injuries obtained while training in either classes or seminars from the of Liu Chang-I's Feeding Crane Kung Fu International. By signing this you agree to all information above and that all information that you have given is true.

Signature

Credit Card #
or Payment by Check
Date:

CCV

Exp (mm/yyyy)

Card Zip Code


+

909-906-3254

USA Headquarters

Feeding Crane Kung Fu International

PO Box 672

Somers, WI  53171