Common Contracts
4 similar Membership Agreement contracts
American Medical Response Ambu-Care Membership AgreementMembership Agreement • September 13th, 2016
By signing the 2020-2021 AMR Membership Application, I agree on behalf of myself and the family members of my household listed on the Application, to abide by the terms of AMR’s 2020-2021 Membership Program, as set forth in this Agreement. I understand that my membership will expire on midnight January 2, 2021. I understand that Medicaid patients are not permitted to enroll in this program.
American Medical Response Ambu-Care Membership AgreementMembership Agreement • September 13th, 2016
By signing the 2020-2021 AMR Membership Application, I agree on behalf of myself and the family members of my household listed on the Application, to abide by the terms of AMR’s 2020-2021 Membership Program, as set forth in this Agreement. I understand that my membership will expire on midnight January 2, 2021. I understand that Medicaid patients are not permitted to enroll in this program.
American Medical Response Ambu-Care Membership AgreementMembership Agreement • September 13th, 2016
By signing the 2021-2022 AMR Membership Application, I agree on behalf of myself and the family members of my household listed on the Application, to abide by the terms of AMR’s 2021-2022 Membership Program, as set forth in this Agreement. I understand that my membership will expire on midnight January 2, 2022. I understand that Medicaid patients are not permitted to enroll in this program.
American Medical Response Ambu-Care Membership AgreementMembership Agreement • September 13th, 2016
By signing the 2020-2021 AMR Membership Application, I agree on behalf of myself and the family members of my household listed on the Application, to abide by the terms of AMR’s 2020-2021 Membership Program, as set forth in this Agreement. I understand that my membership will expire on midnight January 2, 2021. I understand that Medicaid patients are not permitted to enroll in this program.
