GenD Member's Name:
*Email is for the Chamber's use only and will not be shared.
Employer is a DACC member
Employer is a not DACC member
Amount Due: $
Chamber Members - $75 Non Chamber Members - $100
Receipt Required: (Please send receipt when payment is processed.)
*An approved transscript is required for the student rate
By submission of this form you are authorizing the charge to your credit card. If you are not authorized to charge to this credit card, please exit the payment form.