How To Enrol

German-Maltese Circle

Courses & Membership
Enrolment Form

This form is to be used for application to our Courses for Adults
For course information CLICK HERE - Check with office for payment by instalment facilities

FILL IN - PRINT - SIGN - ENCLOSE CHEQUE (Course Fee + Membership Fee) - MAIL
Cheques payable "German-Maltese Circle"
Mail to: German-Maltese Circle, Messina Palace, 141, Triq San Kristofru, Valletta
Booking to our Language Courses will only be confirmed upon payment!

!! ALL FIELDS ARE TO BE FILLED IN !!

Select Course required:

Select the day/s chosen:

Select the time preferred:

Fill in Personal details:
Title:
Surname:
First Name:
Sex:
Address:
Town:
Post Code:
Profession/Occupation:
Identity Card Number:
Date of Birth:
Email Address:
Nationality:
Telephone:	(Home)
	(Office)
Mobile:
Have you ever been a member of the German-Maltese Circle?
Do you want to receive the monthly Newsletter in the printed or in the e-version? Do you want us to send you messages via SMS?
The German-Maltese Circle (GMC) hereby gives notice that the personal data provided and any other information supplied after the date hereof to the GMC, its employees, associates and collaborators will be recorded and processed as may be necessary by the said persons for the purpose of achieving the objectives of GMC. GMC hereby informs of the right of the data subject/parent/legal guardian to rectify or to erase personal data in this respect upon notification in writing and subject to the GMC's obligations under Maltese Law. __________________________________ _____________________________________________ Signature of Applicant Signature of Parent or Guardian if under 18 years
For Office use:
Date:		Membership No.:
Course Receipt No.:		Membership Receipt No.:
Course fee: Amount paid: � Amount due: �