• Teacher Invoice

Teacher Invoice

Teacher Invoice
TO: DANTE ALIGHIERI SOCIETY, INC. | 4050 West Maple Road, Ste #250 | Bloomfield Hills, MI 48301
INVOICE FOR  LANGUAGE/CULTURAL COURSES
INVOICE NUMBER/YEAR
First
Last
Did You renew your DAS Membership?
Check to Indicate hours per course *
Session/students/private
Check to Indicate number of students *
Session/students/private
Check to Indicate numbers of hours per course *
Session/students/private
Check to Indicate
Session/students/private
Check to Indicate
Session/students/private
Check to Indicate
Session/students/private
Check to Indicate
Session/students/private
Check to Indicate
Session/students/private
Check to Indicate
Session/students/private

Membership Application or Renewal
First
Last
We request this information as DAS Membership is valid globally. A DAS member is also registered in Italy on the official Società Dante Alighieri protected database. In Italy is required to indicate the birth date. Our Member’s privacy is safe and respected and not shared anywhere with anyone or with third parties. We made this field optional, but we would appreciate it if you respond. Thank you!
Mailing Address *
Mailing Address
City
State
Zip Code
DAS Agreement (Optional)
GDPR Agreement *
I consent to allow the Dante Alighieri Society of Michigan to provide my name and membership card number to the Dante Alighieri Society Headquarters in Rome, Italy – for their required data requirement. Contact membership@dantemichigan.org for any clarification, if needed.
Membership Status *
Membership Categories and Annual Dues (Jan/Dec.)
I am applying for a FULL Time Student Membership
We request this information as DAS Membership is valid globally. A DAS member is also registered in Italy on the official Società Dante Alighieri protected database. In Italy is required to indicate the birth date. Our Member’s privacy is safe and respected and not shared anywhere with anyone or with third parties. We made this field optional, but we would appreciate it if you respond. Thank you!

Maximum file size: 516MB

Please upload your STUDENT ID. Your Privacy will be respected.
Total Payment for DAS Membership