Daikin Elite Membership Enrollment Form

By completing and submitting this application, you are authorizing payment for enrollment in the Daikin Elite Development Program. Below are your payment options

Please Select Your Membership Option Free 10 day trial, then $445/month (online training plus one free Daikin Workshop) Free 10 day trial, then $4,800/year (online training plus one free Daikin Workshop) $445/month charged immediately (instant access to all benefits) $4,800/year charged immediately (instant access to all benefits) $9,600 for two years charged immediately (instant access to all benefits) $14,400 for three years charged immediately (instant access to all benefits)

Would you like to use Daikin accrual funds to pay for any portion of your Daikin Elite membership?

Please Select an Option Yes No

I want Daikin to remit the following payment from my accrual funds to EGIA

$