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Foundation for Movement Intelligence 2017 Membership Application Your membership period is Jan. 1 Dec. 31 2017 NEW MEMBER RENEWING MEMBER Name Date Country Street City State/Province Zip/Postal Code Phone Alt Phone Email Website Professional Affiliations GCFP RN PT OT LCSW LAc etc. TRAININGS To be completed by Professional Members and Teachers-in-Training use back if needed. If renewing your membership please just list your most-recently completed trainings. BFL 1 2 3 A B with Year /...

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