The American International Club of Rome
c/o Advicorp, via Parigi, 11, 6th floor, 00187 Rome, Italy
Tel: 06-4544-7625 Fax: 06-9725-4122 E-mail: aicr@aicrome.org
 
Membership Application


 Name*

 
 Last Name*

 
 Date of birth*

 
 Nationality*

 
 Spouse's Name

 
 Passport Number
(or other ID)

 
 Company or Affiliation

 
 Title or position

 
 How did you hear about AICR? 
 Street

 
 Cell:

 
 Zip:

 
 City (Prov):

 
 Email*

 
 Alternate Email

 
 Telephone*

 
 Fax

 
 Website

 
 Is this your business or home address

 Business Home
 Clubs or Associations (present memberships) 

 Hobbies, Sports or Other Interests 

 Brief Biographical Data (you may copy and paste your rèsumè here) 

 I would be willing to assist the Club as a volunteer in the following way (list areas expertise, etc.) 
 Your Sponsor*

 
 IF GRANTED MEMBERSHIP, I AGREE TO ABIDE BY THE BY-LAWS OF THE CLUB AND ALL DELIBERATIONS MADE BY THE BOARD OF DIRECTORS.
My payment for current annual dues (€60 or €30 at the discounted rate) will be refunded in full should I not be accepted to membership by the board. Payment is being sent*:
 
By check to the AICR office c/o AdviCorp, Via Parigi, 11, 6th floor

 
Check Number
Bank name
 
By wire transfer to Credito Emiliano Bank, Agenzia "A", Acct. N. 41798,IBAN: IT96 R030 3203 2010 1000 0041 798, ABI: 03032, CAB: 03201, CIN - R
 

The treatment of your personal data is subject to Legislative Decree 196/2003 (Data Privacy Code). The American International Club of Rome adheres to the principles of correctness, legality and transparency in order to protect your privacy and rights in accordance with the Data Privacy Code. Pursuant to Article 13 of the Data Privacy Code, the American International Club of Rome informs you that your personal data will be treated as follows:

a) collection of data for statistical use and to identify the members of the club, including for the purpose of sending communications and information on the activities of the club and for listing in the AICR Annual Membership Directory;
b) data will be collected electronically;
c) personal data shall not be communicated to third parties without your express consent.

Please indicate your consent by clicking the check box below. Note that in the absence of your consent, the American International Club of Rome will be unable to consider your application to join.

By sending this form, I authorize the American International Club of Rome to collect my personal data in accordance with of Legislative Decree 196/2003.*

* = required fields

 

 
4th of July Celebration -- Saturday, July 5th
 On a sunny Saturday, the American International ...
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 MEMBERSHIP BENEFITS
 As a member of the AICR, you will enjoy many valuable privileges.

Click here or see JOIN US for a complete listing, including special members-only discounts; unique marketing opportunities with the Friend of AICR Program; invitations to members-only events; social and business networking opportunities; and automatic membership into the Association of American Clubs (AAC), which provides reciprocal benefits to Clubs around the world. Oh, and we remember your birthday every year!
 


We welcome you to join us for lots of exciting events throughout the year, with our ongoing usual monthly "First Fridays" happy hours as well as many intriguing surprises!!!

For more information, click on CALENDAR or else email us at aicr@aicrome.org.

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