DGDC SUMMIT UPGRADE APPLICATION

1

Your Name* This field is required.

First Name

Last Name

2

What are some of your most recent wins?* This field is required.Please be detailed

3

Do you have current challenges or roadblocks?* This field is required.Please be specific

4

What is your favorite thing about our community so far?* This field is required.What really speaks to you?

5

What has motivated you to apply for SUMMIT upgrade?* This field is required.What would you like to get out of our events together?

6

Are you planning to attend our next event in-person?(as long as there is space available)

Yes

I'm not sure yet

Other

8

Pricing: SUMMIT Membership is currently 18,750/year. As an annual member your total to upgrade is either 6,250 (if there are two events remaining before your next renewal date) or 3,125 (if there is one event remaining before your renewal date.* This field is required.Our events are the final weekend of March and September every year

Yes, that's perfect

9

Please be aware that SUMMIT level membership includes admission to our SUMMIT events and clean nourishing meals for the duration of the weekend. Other travel expenses including flights, lodging etc are not included.* This field is required.Booking your room in the main SUMMIT house depends on availability

Yes, that's perfect

10

If you have any questions please list them hereIf you don't have any questions you can skip this one

11

Your Signature* This field is required.