Private Italian Class Enrolment

Personal Details

First Names *

Surname *

Phone Number *

Mobile Phone Number *

eMail *

Address line 1 *

Address line 2

City *

Postcode *

State *

Knowledge of Italian *

Payment Method *

Direct Deposit - Need to pay in to account BSB 034216 Acct No 862414 using your Surname as the reference

Cheque - Need to forward payment to Società Dante Alighieri, Gold Coast Inc., P.O. Box 6862 , G.C.M.C 9726

Single or Family *

Other persons joining family membership

Number of Classes Requested or Hours	No. Classes Requested	OR	No. of Hours
Number of Classes Requested or Hours	No. Classes Requested	OR	No. of Hours

CONDITIONS OF ENROLMENT

The applicant must become a member of the Dante Alighieri Society Gold Coast paying the joining fee of $20 for a single fee and complete the membership form
Fees are payable prior to commencement and cannot be refunded for any personal reasons
Scheduled lesson times may only be altered with a minimum of 24 hours notice prior to the commencement of the lesson otherwise the price of the lesson is forfeited

Undertaking	Acceptance*
Undertaking	Acceptance * Yes

Setting out the terms and conditions and getting them to sign an undertaking CONDITIONS OF ENROLMENT • The applicant must become a member of the Dante Alighieri Society Gold Coast paying the joining fee of $20 for a single fee and complete the membership form. • Fees are payable prior to commencement and cannot be refunded under any personal reasons. Scheduled lesson times may only be altered with a minimum of 24 hours notice prior to the commencement of the lesson otherwise the price of the lesson is forfeited. ☐ I understand and accept the conditions of enrolment.

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Private Italian Class Enrolment