We hope to see you at our Holiday Happy Hour! Please use the registration form below to register yourself and anyone else in your organization. Please note, payment via credit card is due upon submitting this form. Registration deadline: 12/1/22 Wednesday, December 7, 20225pm-8 pm (Registration deadline: 12/1/22)Executive Banquet & Conference Center, 205 Executive Drive, Newark, DE 19702CostFree for first member from business$50 for additional guests from member businesses$50 for non-members Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Attendee InformationName *FirstLastEmployer *Job or Association TitlePhone *Email *Registration InformationHow many in your party? Selected Value: 1 Number of people you are registering, including yourself.Are you a DAHCC Member? *Choose OneYesNoSelect how many attendees you are registering. First attendee from organization is free. Additional attendees and ALL non-members are $50 each.First Member is FreeOne Member (free) – $ 0.00Two Attendees – $ 50.00Three Attendees – $ 100.00Four Attendees – $ 150.00Five Attendees – $ 200.00Select how many attendees you are registering. First attendee from a member organization is free. Additional attendees and ALL NON-MEMBERS are $50 each.Each Member is $50One Attendee – $ 50.00Two Attendees – $ 100.00Three Attendees – $ 150.00Four Attendees – $ 200.00Five Attendees – $ 250.00Testing Amount – $ 1.00Attendee NamesName of First AttendeeName of Second AttendeeName of Third AttendeeName of Fourth AttendeeName of Fifth AttendeePayment SectionTotal Payment Due$ 0.00Credit Card *CardName on CardAdd any additional comments (or questions) below about your attendees.Other Comments or questionsMessageSubmit For questions, please call: 609-417-5143or email dahcc.director@gmail.com Delaware Association for Home & Community CarePO Box 7037Wilmington, DE 19803