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Adult Day Health Care
Make a Payment ...

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All payments are applied directly to the program/service designated by you.

 

IMPORTANT NOTICEOnce you enter name and address, and click on the Pay Now button, you will be directed to PayPal Secure Payments.  You are required to enter detailed donation/payment information.  If you are making a payment for services for yourself or an individual, you are required to list name and address information below.  This ensures payments are posted correctly.

 

 

 

I AM MAKING AN ADULT DAY HEALTH CARE PAYMENT.  I UNDERSTAND
THAT THE NAME AND ADDRESS OF THE PERSON FOR WHOM I AM MAKING
THIS PAYMENT IS TO BE ENTERED BELOW SO THAT PAYMENT MAY BE CORRECTLY APPLIED:

Client Name:
Address:

 

 

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