PACC's Family Discount Sign Up
With all this we are offering a special discount to our PACC family! In order to qualify for the PACC Family Discount, all you have to do is give us the names, ages and contact information of everyone in your household and pay an annual fee of $50 per household!

By paying $50 annually per household you can unlock our PACC family discounts!!
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Address of the Household *
Today's Date *
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How many people live in your household? *
Family Member 1 Information
Family member 1 Full Name *
Family member 1 Birthdate *
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Family Member 1 Age *
Family Member 1 Email *
Family Member 1 Phone Number *
Family Member 2 Information
Family Member 2 Name
Family Member 2 Birthdate
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YYYY
Family Member 2 Age
Family Member 2 email
Family Member 2 Phone number
Family Member 3 Information
Family Member 3 Full Name
Family Member 3 birthdate
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DD
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YYYY
Family Member 3 age
Family Member 3 email
Family Member 3 phone number
Family Member 4 Information
Family member 4 name
Family Member 4 birthdate
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YYYY
Family Member 4  age
Family Member 4 email
Family Member 4 Phone Number
Family Member 5 Information
Family member 5 name
Family member 5 birthdate
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DD
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YYYY
Family member 5 age
Family member 5 email
Family member 5 Phone Number
Family Member 6  Information
Family member 6 name
Family member 6 birthdate
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DD
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YYYY
Family member 6  age
Family member 6 email
Family member 6 phone number
Family Member 7  Information
Family member 7 name
Family member 7 birthdate
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DD
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YYYY
Family member 7 age
Family member 7 email
Family member 7 phone number
Family Member 8  Information
Family member 8 name
Family member 8 birthdate
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DD
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YYYY
Family member 8  age
Family member 8 email
Family member 8 phone number
Family Member 9  Information
Family member 9 name
Family member 9 birthdate
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DD
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YYYY
Family member 9 age
Family member 9  email
Family member 9 phone number
Family Member 10 Information
Family member 10 name
Family member 10 birthdate
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Family member 10 age
Family member 10 email
Family member 10 phone number
I agree to call PACC and pay the $50 associated with my annual PACC family Discount. Print name below *
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