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DAIKIN ELITE DEVELOPMENT PROGRAM DAIKIN ELITE
DEVELOPMENT PROGRAM

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

Pay for 12 – 23 Months
Authorize a minimum of $4,588 (through accrual funds and/or cash payment) by March 31, 2024 to receive a to receive a free Tier 1 gift of your choice.



Pay for 24 – 35 Months
Authorize a minimum of $9,176 (through accrual funds and/or cash payment) by March 31, 2024 to receive a free Tier 1 or Tier 2 gift of your choice.



Pay for 36 Months
Authorize a minimum of $13,764 (through accrual funds and/or cash payment) by March 31, 2024 to receive a free Tier 1 or Tier 2 or Tier 3 gift of your choice.

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

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


$

Authorize your Daikin Accrual Funds

Note: If accrual funds are used as partial payment, you are required to pay the remaining balance with a credit card.