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Enrolment Form


Enrolments to Beginners One and Two classes for 2010 are still being accepted.
If you wish to enquire about private tuition, contact president@circoloitaliano.org.nz
Persons wishing to become members of the Circolo Italiano may do so by:
1:printing a copy of this page and posting with a cheque for the membership fee to the club Contact.
2:scanning the completed enrolment form and emailing it to: president@circoloitaliano.org.nz
3: By attending one of our social functions News.

Personal information supplied will not be made available to outside agencies.

Enrolment can only be confirmed on receipt of the relevant fees. Please note that fees are not refundable. Please complete all fields on this form, print selection, and send with cheque.

Date:
Personal details:

Preferred Title:
First Name:
Last Name:
Address:
Suburb:
Postcode:
City:
Telephone No:
Home:     Work:   
E-mail

Subscription to Circolo Italiano:

Italian Classes (Circolo Italiano Membership required)
Circolo Italiano Membership (only)


Classes Enrolment: (For subscribers to Italian classes only)
Beginners Stage One Monday      5.30pm-6.25pm
Wednesday 5.30pm-6.25pm

Beginners Stage Two Monday      6.30pm-7.25pm
Wednesday 6.30pm-7.25pm

Pre-Intermediate - 2010 CLASSES FULL Wednesday 6.00pm-7.00pm
Wednesday 8.00pm-9.00pm

Intermediate - 2010 CLASS FULL Monday      8:00pm-9:00pm

Post-Intermediate - 2010 CLASS FULL Wednesday 7:00pm-8:00pm

Advanced - 2010 CLASS FULL Monday      6:30pm-8:00pm


Additional information:(For subscribers to Italian classes only)

Have you studied Italian before? Yes No
For what reason are you studying the Italian Language?
Please tell us where you heard of the Circolo Italiano

Do you wish to pay by Internet Banking? Yes
No



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