15455 Middlebelt Road · Livonia, MI 48154 · Tel: (800) 300-4143 · Fax: (734) 525-2466
Michigan Association for Child Care Providers
Michigan Association for Child Care Providers (MACCP)
 

Membership Application

To join the Michigan Association of Child Care Providers online you must complete two easy steps:
  1. Fill out the following application with your information and
    click submit, and

  2. Pay for your membership with a credit card using the
    fast and secure PayPal website.
* All fields are required.

*Facility Name:
*Licensee Name(s):
*Your Name (if different):
*Title:
*License Number:
*License Capacity:
*Effective Date: / /
*Expiration Date: / /
*Street Address:
*City:
*State:
*Zip Code:
*Daytime Phone Number:
*Fax Number:
*Email Address:
*Membership Fee:
*If licensed for over 25 children:
$2.00 x number of children

*Are you interested in receiving a comparison insurance quote?
Yes    No

*Are you interested in being listed on our child care provider database, which is accessible to parents?
Yes    No



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