Northshire Rescue Squad

EMERGENCIES

SQUAD OFFICE

DIAL 911

(802) 362-1995

Serving the Northshire since 1964

Subscription Application

Our annual EMS insurance program is also our grassroots fund raiser

Manchester Rescue Squad Subscription Application

For a $110 fee, all expenses incurred for use of our services, by you or any member of your household, will be covered - with no cost to you - from August 1, 2017 through July 31, 2018.

 

Please fill in all Principal Member information below.  If you have other household members, fill in a Name and Date of Birth for each in the Other Household Members section.  After submitting the form, you will be taken to a secure PayPal site for your payment information.

 

Principal Member

Other Household Members

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Control your cost

Emergencies happen

Support your community

The Subscription Program is all about controlling the cost of emergency medical services.

We hope you don't need our services - but if you do - the Subscription Program covers 100% of your cost.

Each year we respond to over 1200 emergency calls in the Northshire.  Help us serve the community by joining the Subscription Program today!

Copyright © 2018, Northshire Rescue Squad, Inc., All Rights Reserved.

Site Design:  Ben Weiss