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Application Fee Payment

If you are interested in getting on our waitlist, please submit an application fee. After this step is completed, you will then be brought to our application form. You can call 773-271-4495 or email staceyjohnson@rc4cares.com with any questions!

Application Fee Amount
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged

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