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EMS Village Membership Application

Membership Application

Instructions: Please complete the membership application below for your FREE membership. A VALID email address is required to activate your membership so please be sure to double check your entry. An e-mail containing your un-encrypted temporary password and instructions on how to activate your membership will be sent to that address. If you do not receive the email from us within one-hour, please contact support@emsvillage.com. If this happens, one possible problem is that a SPAM filter used by your e-mail client or ISP may have incorrectly identified our e-mail as spam.

Full name:
First Last
User Name:
Company / Org.
Title:
(Student,EMT, Paramedic, MD, etc)
Email :
Zip Code:
Country:
Gender:
Year of Birth :
Password:
Password:
Profile Visibility:
CAPTCHA Validation:

Opt-in Newsletter Subscriptions
EMSV Weekly Update Newsletter
The Site Update Newsletter is sent to subscribers each time we post a new edition of content. This newsletter is sent out weekly.
Frequency: 1-4 per month
EMSV Market Place ValueGram
Members who sign up for this will recieve special offers, discount coupons and / or other specific product information from qualified EMS related businesses.
Frequency: No more than one per week.
EMSV LODD Notices
The Line Of Duty Death notice will be sent immediatelty following the death of an EMS or Firefighter killed while performing their duties.
Frequency: Varies. Sometimes several per week.
EMSV Elerts
The latest terrorist alerts and other urgent Emergency Service notifications
Frequency: Varies. As required