2019-2020 MEMBERSHIP APPLICATION JOIN TODAY YOU CAN'T BUY A BETTER LIFE SAVER A.C.S A.C.S PA Licensed Paramedic Advanced Life Support Service Emergency & Non-Emergency "Your Support Is Vital" Caring Since 1952 AMBULANCE SERVICE MEMBERSHIP 2019-2020 WASHINGTON COUNTY Washington Slovan Bentleyville (circle one) CHAIR ANCE Make check/money order payable to AMBULANCE& CHAIR SERVICE $35 Date Phone No. ( Renewal $65 Twp., Boro, City Enclosed Payment Expires December 15, 2020 Individual. WHY? HOM's, Medicare, Security Blue and other insurances will not pay for many non-emergency ambulance trips. And if they do, it is an extremely low amount and you could be responsible for the Married Couple. New Family. 75 Braden Street Call 724-225-8050 1-800-244-0165 balance. Washington, PA 15301 ICHECK TYPE ACTIVE FAMILIES need a Membership! Soccer, football, biking, hiking, softball, baseball, etc... accidents happen. Insurance deductibles and Name: Address For Information Twp. Zip City Phone Number Call Membership Line For co-pays can be very high. Insurance Brochure (724) 225-1332 denials happen daily. 2019-2020 MEMBERSHIP APPLICATION JOIN TODAY YOU CAN'T BUY A BETTER LIFE SAVER A.C.S A.C.S PA Licensed Paramedic Advanced Life Support Service Emergency & Non-Emergency "Your Support Is Vital" Caring Since 1952 AMBULANCE SERVICE MEMBERSHIP 2019-2020 WASHINGTON COUNTY Washington Slovan Bentleyville (circle one) CHAIR ANCE Make check/money order payable to AMBULANCE& CHAIR SERVICE $35 Date Phone No. ( Renewal $65 Twp., Boro, City Enclosed Payment Expires December 15, 2020 Individual. WHY? HOM's, Medicare, Security Blue and other insurances will not pay for many non-emergency ambulance trips. And if they do, it is an extremely low amount and you could be responsible for the Married Couple. New Family. 75 Braden Street Call 724-225-8050 1-800-244-0165 balance. Washington, PA 15301 ICHECK TYPE ACTIVE FAMILIES need a Membership! Soccer, football, biking, hiking, softball, baseball, etc... accidents happen. Insurance deductibles and Name: Address For Information Twp. Zip City Phone Number Call Membership Line For co-pays can be very high. Insurance Brochure (724) 225-1332 denials happen daily.