Enrolment Form

Enrolments to classes for 2009 are now open.
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 one of the following:
1: By printing a copy of this page and posting with a cheque for the membership fee to the club Contact.
2: By filling out the form (below) and clicking "Submit". Your application details will be posted to the committee of the Circolo Italiano via the Internet. Please post a cheque for the membership fee Fees.
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. You will be prompted if necessary before submission.

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 Saturday 10.30am-12:00pm
Beginners Stage Two	Monday 6.30pm-7.25pm Wednesday 6.30pm-7.25pm
Pre-Intermediate - 2009 CLASSES FULL	Monday 8.00pm-9.00pm Wednesday 8.00pm-9.00pm
Intermediate - 2009 CLASS FULL	Wednesday 6:30pm-8:00pm
Advanced - 2009 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

If not electing Internet Payment, please post a cheque for the appropriate fee.
Please note that fees are not refundable.