online enrolment form – conversation classes

Would you like to enrol in (required)

Name (required)

Surname (required)

Address (required)

Suburb (required)

State (required)

Postcode (required)

Phone number (required)

E-mail (required)

Are you already a member of the DA Society? (required) If not, please fill out the online membership form

Message (optional)

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Your enrolment will not be valid until we receive confirmation of payment
Please note that you must join the DA Society in order to attend a language course. Membership costs $40 ($20 for pensioners)

To finalise your enrolment please make payment to:
Dante Alighieri Society
BSB : 082 902
Account No: 515 003 825

(Please include your surname and initials as reference when paying by EFT)

By filling in this form, you agree to abide by the rules and regulations of the Dante Alighieri Society (copies are available from the office on request).

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