CARE Payment Authorization Form

Re-order Child's Name Weight Operations
more items
Child's CARE site
Payment Method
ACH Payment Information
Account Type
CARE Academy Payment Authorized Account Holder Information
Credit/Debit Card Information

There is a 3% processing fee for debit and credit cards!

Card Type
CARE Academy Credit or Debit Card Account Holder Information
Authorization Agreement for ACH or Credit/Debit Card CARE Academy Billing
I hereby authorize United Way of Yellowstone County (UWYC) to initiate appropiate ACH or credit/debit card charges and, if necessary, adjustments for entries made in error, to my account indicated above. This authorization shall remain in effect until UWYC has received written notification of its termination in such time and manner as to afford UWYC a reasonable opportunity to act upon said termination request. UWYC may cancel this agreement at any time upon written notification to the account owner. 

Cancellation or account changes must be submitted in writing via e-mail to For questions, please call 406.272.8512.