MEMBERSHIP DRIVE NOW IN PROGRESS! WASHINGTON COUNTY AMBULANCE & CHAIR & CHAIR SERVICE 75 Braden St., Washington, PA 15301 Call (724) 225-8050 or 1-800-244-0165 Call Membership Line For Brochure (724) 225-1332 2019-2020 MEMBERSHIP APPLICATION I Circle Location: Washington Slovan Bentleyville Make check/money order payable to: AMBULANCE & CHAIR SERVICE Date Individual. . $35 Phone No. Married Couple... $55 Renewal Twp., Boro, City New Family.. .$65 Enclosed Payment 75 Braden Street Washington, PA 15301 (CHECK TYPE) EXPIRES DECEMBER 15, 2020 Name: Address: Twp Zip: City: Phone Number: AMBULANCE SERVICE MEMBERSHIP DRIVE NOW IN PROGRESS! WASHINGTON COUNTY AMBULANCE & CHAIR & CHAIR SERVICE 75 Braden St., Washington, PA 15301 Call (724) 225-8050 or 1-800-244-0165 Call Membership Line For Brochure (724) 225-1332 2019-2020 MEMBERSHIP APPLICATION I Circle Location: Washington Slovan Bentleyville Make check/money order payable to: AMBULANCE & CHAIR SERVICE Date Individual. . $35 Phone No. Married Couple... $55 Renewal Twp., Boro, City New Family.. .$65 Enclosed Payment 75 Braden Street Washington, PA 15301 (CHECK TYPE) EXPIRES DECEMBER 15, 2020 Name: Address: Twp Zip: City: Phone Number: AMBULANCE SERVICE