Golder Ranch Ambulance Membership Renewal

Golder Ranch EMS Membership will cover ambulance transport from anywhere within Golder Ranch Fire District and covers transport to the nearest appropriate hospital, not the hospital of choice. If an ambulance responds but the patient is not transported, there will be no charge.

This $94.24 annual membership program ensures that you and family will not receive a bill should you need an ambulance transport.

**By sending this form and paying my membership fee I agree to the terms and conditions.**
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An asterisk sign "*" means that you must MULTIPLY the two numbers.

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