Membership Form — 2026/2027 Season

ASMB Taijiquan

06 61 00 73 01

contact@asmbtaijiquan.fr

Reprise des cours samedi 12 septembre 2026

Fill out this form and then print it: nothing is recorded online, your information stays in your browser.

Chosen Disciplines

Payment Method

Discipline Rates

Taiji Quan

  • 1ère inscription160 €

    in 3 installments: 90 · 35 · 35 €

    L'adhésion au Taiji Quan donne accès aux cours d'armes (éventail).

  • Réinscription150 €

    in 3 installments: 90 · 30 · 30 €

Wutao

  • 1ère inscription310 €

    in 3 installments: 110 · 100 · 100 €

    L'adhésion au Wutao donne accès aux cours de Taiji Quan.

  • Réinscription290 €

    in 3 installments: 100 · 95 · 95 €

Éventail

  • Si unique pratique50 €

    in 3 installments: 30 · 10 · 10 €

    Engagement et paiement au trimestre.

Chant du Souffle

  • Si unique pratique200 €

    in 3 installments: 60 · 70 · 70 €

    200 € est un tarif promotionnel de lancement. Le prix réel est 280 €.

  • Si adhérent Taiji Quan ou Wutao110 €

    in 3 installments: 50 · 30 · 30 €

    Pour les adhérents TJQ ou Wutao les 2 premiers cours sont offerts.

Terms

  • Règlement par chèque ou virement.
  • TITULAIRE: ASMB TAI CHI 
  • IBAN : FR76 1027 8063 6800 0201 2800 142 — BIC : CMCIFR2A

  • Possibilité de régler en 3 fois : chèques déposés les 1ᵉʳ octobre 2026, 2 janvier 2027 et 1ᵉʳ avril 2027.
  • Facture sur demande.
  • Aucun remboursement ne sera possible, sauf cas de force majeure.

Protection of Your Personal Data

The information collected on this form is recorded by ASMB Taijiquan Association (2, allée de l'Hermine, 78180 Montigny-le-Bretonneux), data controller, for the management of your membership. Legal basis: performance of the membership contract. Data related to payment is retained for 10 years under accounting obligations. Recipients: authorized board members; no transfer to third parties or outside the EU. Your form is kept during the duration of your membership and 3 years afterwards, then destroyed (except re-membership). You have rights of access, rectification, erasure, restriction and objection (erasure does not apply to accounting documents during their legal period). Contact: contact@asmbtaijiquan.fr. Complaint possible with the CNIL (www.cnil.fr).

Member Signature

Member signature:

Legal Representative (to be completed if the member is a minor)

I undersigned ………………………………, legal representative of the minor member named above, authorize his/her membership and participation in activities, and acknowledge having read the above information.

Legal representative signature:

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