Individual One Time Donation

Individual One Time Donation

To set up recurring donations, please go to the SystEMS Champion donation page
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Online Donation

USDDonation amount

Credit Card

Message
The PA EMS Provider Foundation is the philanthropic arm of the Ambulance Association of Pennsylvania. Thank you for your support!
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