Membership Subscription Program
Residential - Your $45 subscription fee will get you and everyone in your household unlimited ambulance coverage for the current year. Although we bill your insurance company, you are not responsible for the remaining balance due to your subscription. If you don's have insurance, you will not receive a bill since you are a subcriber.
Business - A $250 subscription fee keeps you, your employees, and patron free from paying the remaining balance of an ambulance bill.
Ways to Support the Waymart Volunteer Ambulance Corps!
Membership Subscription Program (application below)
If you do not wish to be a subscriber, other donations are greatly appreciated.
If you haven't already, print out the application below and mail it to:
| Waymart Volunteer Ambulance Corps |
| Fund Drive 2008 |
| Po Box F |
| Waymart, PA 18472 |
| Waymart Volunteer Ambulance Corps | Subcription Fee is only | |||||||||||||||
| Fund Drive 2008 | $45.00 per year for | |||||||||||||||
| Po Box F | Full Ambulance Coverage | |||||||||||||||
| Waymart, PA 18472 | (Check Fund Drive Letter for Details) | |||||||||||||||
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Subscription Program |
Check box to become | |||||||||||||||
| Good from August 2008 - August 2009 | a member for | $45.00 | □ | |||||||||||||
| Business | $250.00 | □ | ||||||||||||||
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Name____________________________ |
(If you wish to make a donation less than $45.00, please enter amount below) | |||||||||||||||
| Address__________________________ | $_______________________________________ | |||||||||||||||
| Town___________State___Zip________ | (Please note donations less than $45.00 are not considered a membership) | |||||||||||||||
| Phone Number (Optional)_____________ | Please make checks payable to | |||||||||||||||
| Waymart Volunteer Ambulance Corps | ||||||||||||||||