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Any physical or medical condition that would limit your ability to perform the duties required as an ambulance attendant, EMT, or driver may require a letter from a physician.
I attest that all the information I will submit on the application will be true to the best of my knowledge and understand that providing false information could lead to forfeiture of membership if granted.
To have a membership application mailed to you, please send a request to
Request Membership Application. Please fill in on the subject line "Membership Application Request". Please type a short note that says "Please send a membership application to". Include your full name, address and phone number.
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