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Academy Child Development Center, Inc. 10109 Jamestown Road Rockville, MD 20850 (301) 4246282 Fax: (301) 4249477 www.academychild.com Payment Options 1. ACH Debit Authorization Form Please check the

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1. Start by writing your name in the "Name" field. This should be your legal name as it appears on official documents.
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6. Finally, sign and date the form where required, indicating your consent and agreement to the provided information.

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1. Individuals who are in need of a specific mailing address in Rockville, Maryland, may require the use of 10109 Darnestown Road.
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10109 Darnestown Road, Rockville is the address of a specific location in Rockville.

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