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 Dealers can choose from the following incentives when they sign-up for, or extend their current Daikin Elite membership between January 1 and March 31. Pay for 12 – 23 Months Authorize a minimum of $4,800 (through accrual funds and/or cash payment) by March 31, 2025 to receive a to receive a free Tier 1 gift of your choice. Pay for 24 – 35 Months Authorize a minimum of $9,600 (through accrual funds and/or cash payment) by March 31, 2025 to receive a free Tier 1 or Tier 2 gift of your choice. Pay for 36 Months Authorize a minimum of $14,400 (through accrual funds and/or cash payment) by March 31, 2025 to receive a free Tier 1 or Tier 2 or Tier 3 gift of your choice. 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 + Tier 1 gift) $9,600 for two years charged immediately (instant access to all benefits + Tier 1 or Tier 2 gift) $14,400 for three years charged immediately (instant access to all benefits + Tier 1, Tier 2 or Tier 3 gift) 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 $ Authorize your Daikin Accrual Funds I authorize Daikin to debit my accrual funds as partial or full payment to EGIA for enrollment in the Daikin Elite Development Program. Note: If accrual funds are used as partial payment, you are required to pay the remaining balance with a credit card.