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)
Note: When paying by credit card. your card will not be charged until your registration information has been verified.
Receipt Required: (Please send receipt when payment is processed.)
- Refunds can only be given for cancellations received in writing 72 hours prior to the event.
(Exceptions are the Annual Meeting and Chamber Challenge, which require a 7 day cancellation notification.)
- No shows for all programs will be billed.
- Chamber program fees are deductible as a business expense, not as a donation
By submission of this form 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.