Contact First Name:
Contact Last Name:
Chamber Member: (check if you are a current member)
# Attendees: (required to calculate total and enable payment options)
Event Cost: $ (per attendee)
Total Due: $
Check (payable to Dayton Area Chamber of Commerce )
Receipt Required: (Please send receipt when payment is processed.)
Note: When paying by credit card. your card will not be charged until your registration information has been verified.
By submission of this form you acknowledge you have read and agree with the Registration Policy. If paying by credit card, you are authorizing the charge for the registration to your credit card. If you are not authorized to charge to this credit card, please exit the registration form. If you are paying by check, please mail your check, (payable to Dayton Area Chamber of Commerce,) to 22 E. Fifth St., Dayton, Ohio 45402.