PERSONAL INFORMATION Title: First name: Last name: Organization/Company: Address: Telephone: Email address: Interests: Arts and MusicFood and WineTravelLanguage and LiteratureHistory and CultureOthers SPONSORSHIP TYPES/FEES Types: Diamond $100,000Gold $35,000Silver $5,000 Top-up options:Classroom Sponsorship ----Classroom A $20,000Classroom B $20,000Classroom C $15,000Classroom D $15,000Classroom E $10,000Classroom F $10,000Classroom G $10,000 Classroom sponsorship are exclusive add-on for SILVER/GOLD/DIAMOND Sponsor PAYMENT METHODS Payment methods: By postMoney transferIn person 1. By post You can send us a crossed cheque made payable to “Dante Alighieri Society Limited” to Room 702, 7/F, Hong Kong Arts Centre, 2 Harbour Road, Wan Chai, Hong Kong 2. Money transfer You can transfer the fee to our HSBC account and email us the transfer slip for our reference. (Bank details will be sent to you upon receipt of your enrollment) 3. In person You can come to our office and pay for it by cash (exact amount), EPS or cheque payable to “Dante Alighieri Society Limited” during our office hours. (no credit card) DECLARATION By submitting this form, I hereby declare that I understand terms and conditions and the above information provided is correct. (For details, please go to https://ladante.cc/sponsorship). I object to the use of my personal data for direct marketing of Dante Alighieri Society Limited such as receiving newsletter, new learning programs and cultural events. Δ