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 Bad Check Restitution Program - P.O. Box 8645 - Ann Arbor , MI   48107-8645

 
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Registration

     If you prefer to register using the mail-in registration form, simply click on the thumbnail of the form.  It will automatically download to your computer as an Acrobat® (PDF) file that you can print.

 

If you don’t already have Acrobat Reader, click on this icon. You will be directed to the Adobe Acrobat Reader site where you will get instructions on downloading a FREE copy of Acrobat Reader.  Once you have downloaded that program, click the “Back” button in your browser to return to this page.

 

Merchant Registration Form


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