MEMBERSHIP APPLICATION (NEW or RENEWAL)

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How to Join

• Fill out the membership application (below).

• We prefer to receive printed or typed copies of your application. This makes for a clear understanding
    of your application information. Please type in your information.

• Attach a check (USA only) or money order in US Funds for the $5.00 non-refundable.

Mail both your application and dues to

MEMBERSHIP COMMITTEE
P.O. BOX 178
ELIZABETHTOWN KENTUCKY 42702

Note:

When submitting your application, we prefer you use the interactive PDF – “MEMBERSHIP APPLICATION (NEW or RENEWAL)”. If the PDF does not work with your system, then please download the Microsoft Word document, fill in your information, and mail it to KAEMT Membership Committee.

We've had difficulty reading handwriting, which can delay the process of your application and receiving your membership card due to an illegible writing.

                                                                                 APPLICATION

Click here to download the interactive application as a PDF.
              (Type directly into the application and mail to address below)
Click here to download a word doc of the application. Please print in the required information
Click here to print your membership application. This is a NON-Interactive Application.
               (Please print out your application and the fill in the required information)
Click here to download Adobe Reader free.

Requirements:

·         Membership is open to:  FIRST RESPONDER, EMT, EMTB, EMTI, PARAMEDIC, LPN, RN, FIREFIGHTER,
                                        DISPATCHER, POLICE, and MILITARY MEDICS.

Membership Costs:

• Active/Voting Membership $5.00
• Associate Membership Associate $15.00
• Student Membership $15.00

Thanks for your Membership

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