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.

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