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Apply online for the North Fork Ambulance Membership Program


Thank you for choosing to support the North Fork Ambulance and be prepared to help your family have financial stability in an emergency while supporting the community. This online application covers both individuals and families who have never been members of the North Fork Ambulance and those who wish to renew their Membership in the program.

Not sure what our Membership Program is or how it works? Click here for more information.

Membership Testimonials:

"My husband fell and ruptured his spleen at our cabin above Paonia. The ambulance driver navigated up a steep, single lane dirt road for three miles to pick him up. My husband would have died without that brave ambulance driver and the other EMTs who worked with him. Thank you North Fork Ambulance. You are truly life savers."
"Thank you North Fork Ambulance - EMTs, drivers, staff, Board and other members too-for being there when the unthinkable happened. The responders were professional, thoughtful and respectful, reflecting the NFAA's commitment to our community. We are long-time members and having learned the re-organization details at the public meetings this year, we fully support the plans and changes for maintaining and improving this vital community service."

Sign up online today! Its quick, easy and secure with PayPal!

Choose the Membership level you would like to sign up for by clicking on the button below. You will then be directed to a separate page which will load a secure application. Upon completion of the online application, it will automatically direct you to PayPal's secure online payment processing site which will allow you to pay for your Membership using PayPal, credit or debit card.

If you would rather complete a paper application, you can download a PDF version of the application which is mailed out and mail it into our Business Office with accompanying payment.

Not sure which Membership level you should choose? Click here for descriptions on each level.