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Dante Alighieri Society of Michigan
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Home
About Us
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Events
Language Certification
Classes
Italian for Adults | Online
Italian for Adults | In-person
Italian Conversation Class
Italian for Children | Online & In-Person
Private Classes
Italian Placement Test
Student Books
Our Teachers
News
Contacts
VoluntarItaly
Home
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
*
INVOICE NUMBER/YEAR
Invoice Date
*
Teacher Name
*
First
Last
*
Last
Email
*
Did You renew your DAS Membership?
*
NO
YES (please indicate the renewal date).
YES (please indicate the renewal date).
1) Course Level/Starting-Ending Date
*
Total Hours
*
Hourly Rate
*
Check to Indicate hours per course
*
Number of sessions
Number of sessions
Session/students/private
Check to Indicate number of students
*
Number of students
Number of students
Session/students/private
Check to Indicate numbers of hours per course
*
Private/name
Private/name
Session/students/private
2) Course Level/Starting-Ending Date
Total Hours
Hourly Rate
Check to Indicate
Number of sessions
Number of sessions
Session/students/private
Check to Indicate
Number of students
Number of students
Session/students/private
Check to Indicate
Private/name
Private/name
Session/students/private
3) Course Level/Starting-Ending Date
Total Hours
Hourly Rate
Check to Indicate
Number of sessions
Number of sessions
Session/students/private
Check to Indicate
Number of students
Number of students
Session/students/private
Check to Indicate
Private/name
Private/name
Session/students/private
Total Amount
Signature
*
Clear
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Submit
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Membership Application or Renewal
Name
*
First
Last
*
Last
Phone
*
City and State of Birth
*
Email
*
Birth date
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
Mailing Address
Mailing Address
City
City
State
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Zip Code
DAS Agreement (Optional)
I Consent to be listed in the DAS E-mailing list
GDPR Agreement
*
I consent to having this website store my submitted information so they can respond to my inquiry.
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
*
New Application
Membership Renewal
Membership Categories and Annual Dues (Jan/Dec.)
Life $500
Corporate $300
Patron $60
Family $50
Individual $30
Seniour Citizen (Single over 65) $20
Part Time Student $15
I am applying for a FULL Time Student Membership
FULL Time Student (ID Required) FREE
IF YOU APPLY FOR A FAMILY MEMBERSHIP PLEASE PROVIDE NAME, BIRTH DATE AND PLACE OF BIRTH OF YOUR SPOUSE OR SIGNIFICANT OTHER
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!
IF YOU APPLY FOR PART TIME OR FULL TIME STUDENTS PLEASE UPLOAD YOUR ID
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Please upload your STUDENT ID. Your Privacy will be respected.
Total Payment for DAS Membership
If you are human, leave this field blank.
Submit
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