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PAYPAL PAYMENT INSTRUCTIONS

 

IF YOU ARE PAYING WITH PAYPAL, YOU MUST STILL FILL OUT AND MAIL IN THE FOLLOWING FORM. THAT IS THE ONLY WAY WE CAN IDENTIFY THOSE WHO HAVE PAID FOR SUBSCRIPTIONS ONLINE THROUGH PAYPAL. YOUR NAME AND ADDRESS WILL BE LISTED ON THE PAYPAL RECEIPT WE RECEIVE IN ORDER TO CORRECTLY IDENTIFY YOUR ONLINE PAYMENT. THANK YOU!

 

 

 

  • PLEASE MAKE SURE YOU HAVE FILLED OUT YOUR FORM
  • PRINT OUT FORM
  • CLICK THE 'BUY NOW' BUTTON TO MAKE PAYPAL PAYMENT
 
  • THEN MAIL IN YOUR PRINTED FORM

 

MAILING IN FORM AND PAYMENT

 

  • CLICK ON FORM LINK BELOW
  • PLEASE MAKE SURE YOU HAVE FILLED OUT YOUR FORM
  • PRINT OUT FORM
  • THEN MAIL IN YOUR PRINTED FORM WITH PAYMENT

 

THANK YOU FOR YOUR SUBSCRIPTION AND SUPPORTING POCONO MOUNTAIN REGIONAL EMERGENCY MEDICAL SERVICES!!

 

 

 

 
 
 
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