Online membership form

Name (required)

Surname (required)

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Phone number (required)

E-mail (required)

Membership type (50% OFF if you enrol in a grammar course) (required)

Is this a renewal?

Would you rather receive the newsletter by email or post?

Subscription for Choir ($10.00 in addition to membership)

Age range (required)

Are you interested in assisting with the activities of the Society? (required)

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Membership costs $40 for individuals and $20 for pensioners. Please note that your membership will not be valid until we receive confirmation of payment.

You can pay by cheque or direct deposit into the following account:
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 Privacy Notice and the Rules and Regulations of the Dante Alighieri Society.

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