To become a 2017 Care for Kids  Shopping Pass Merchant, please review and complete the Merchant Agreement Form.

For questions about being a 2017 Care for Kids Shopping Pass Merchant, please complete the form below. To participate, simply click on the link above and fill out the online Merchant Agreement Form.

Your Name (required)

Store Name (required)

Store Address (required)

Phone Number (required)

Your Email (required)



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