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Scheduled Maintenance: 
Credit card payments made May 2–4 will be processed on May 5 and dated accordingly. Pay by Phone will be unavailable during the maintenance period.
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Health Advantage Cares Foundation Grant/Donation Request Application

Grant/Donation Requirements:

* Required Fields

What category best describes the organization?
Has your organization received funds from the Health Advantage Cares Foundation in the past?
Security Code:

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