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        "Payment Protection" Services!

         Paycare Program

Paycare Program looks forward to servicing you!

Please fill out the form below and click "Submit." We will get back to you within 24-48 hours!

Membership Type (Check All That Apply) *
Facility Type (Check All That Apply) *
Membership Level*
Full membership to complete Steps #1 & #2; Starter membership to complete Step #1 ONLY
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Thank you for contacting us. We will get back to you within 24 to 48 hours.

        Step #1:

Complete the form               on the left

(funds sent to the     family you refer) 

       Step #2:

Then complete the applicable facility membership below

     To Enroll at 

     No Up-front, 

Out-of-Pocket Cost!

(funds sent directly   to your facility)

Click to Complete
'Daycare-to-12th grade' Facility Membership


to Complete the 'Leasing' Facility Membership 

Click to Complete 'College/School' Facility Memership

Click to Complete 'Medical' Facility Membership

Click to Complete 'Auto' Facility Membership