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ARIZONA FIRE & MEDICAL AUTHORITY 18818 N. Spanish Garden Drive, Sun City West, AZ 85375 P (623) 5445400 F (623) 5445455 www.afma.az.gov/ampAMBULANCE MEMBERSHIP PROGRAM AGREEMENT Primary Contact Information
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How to fill out ambulance membership program agreement

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How to fill out ambulance membership program agreement

01
Obtain the ambulance membership program agreement form from the ambulance service provider.
02
Read through the agreement form carefully, ensuring you understand all the terms and conditions.
03
Fill in your personal details such as name, address, contact information, and any other required information.
04
Make sure to sign and date the agreement form where necessary.
05
Submit the completed agreement form to the ambulance service provider along with any required payment.

Who needs ambulance membership program agreement?

01
Anyone who wants to ensure they have access to discounted ambulance services in case of an emergency.
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The ambulance membership program agreement is a legal contract between an individual and an ambulance service provider, which allows the individual to receive emergency medical services at a discounted rate.
Anyone who wishes to become a member of an ambulance membership program is required to file the agreement.
The ambulance membership program agreement can typically be filled out online or in person by providing personal information and agreeing to the terms and conditions set forth by the ambulance service provider.
The purpose of the ambulance membership program agreement is to ensure that individuals have access to affordable emergency medical services in the event of an emergency.
The ambulance membership program agreement typically requires the individual's personal information, emergency contact information, medical history, and payment information.
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