Become A Member...
How to become a member in 2016...
Simply download this form or pring the form below and fill it in and return to our Treasurer. Benefits include annual subscription to Harvard magazine.
APPLICATION FOR MEMBERSHIP – YEAR 2016
ALUMNUS
Name ______________________________ Degree ______________ Class _____________
Address ______________________________ City ________________ Zip Code __________
E-mail ______________________________ Tel. _________________ Fax ______________
MEMBERSHIP DUES
[ ] Recent College graduates (Class of ’13 and later) € 50
[ ] Regular Member € 100 or more
[ ] Contributing Member € 250 or more
[ ] Supporting Member € 500 or more
[ ] Patron € 1000 or more
[ ] Sponsor € 2500 or more
[ ] Donor € 5000 or more
[ ] Benefactor € 10000 or more
Please mark the box of your selected choice. Dues can be paid by check, credit card, or wire transfer.
CHECK
Please make checks payable to the Harvard Club of Italy.
CREDIT CARD
Amount ___________________________ Credit Card __________ (VISA, MC)
Number ___________________________ Expiration ___________
WIRE TRANSFER
Bank Cariparma e Piacenza
Holder Harvard Club of Italy
I.B.A.N IT97 L06230 03203 000035483562
Causale: HCI 2016 Membership
[ ] Please check this box if you are willing to volunteer your time and talent into Club activities.
As an applicant Member of the Harvard Club of Italy, hereby I authorize the Club to treat my personal data as provided for by current Italian privacy laws, possibly have my image posted on the Club web pages and to receive communications of events and/or activities through regular media channels and social networks.
Place/date Signature
For assistance, please contact HCI President, Fabio Filocamo, or Treasurer, David Turco LLM '99 (ph: +39 06 8088 244)
Form may be sent by e -mail: davidturco@studioturco.it cc hcitaly@post.harvard.edu or by fax: +39 06 8088 980
H A R V A R D C L U B O F I T A L Y