Box 1721    |  Provincetown, MA   02657   |   Ph. 508.487.0801   |   Fax. 508.487.0780  |  E-Mail Us


Donations

To donate by check
Fill out the form below and follow instructions

To donate on-line

In second page of PayPal form there will be a + sign under Name & Address of..
Click on the + and enter the information in the field provided.


  Amount $
I would like my donation to be made
in memory of
in honor of
Hero Fund America Local Hero

We would be happy to acknowledge your gift with a card

Name
Street
City    
State Zip Code
   
   
Please Fill Out Your Information Below So We Can Respond to Your Request
     
Name
Address
City
State
Zip Code
E-mail
   
Print the completed form, include your check, and Mail to:
  Lower Cape Ambulance
  Box 1721
  Provincetown, MA 02657-5374

If you are having a medical emergency DIAL 911

Copyright 2009 - Lower Cape Ambulance Services - All Rights Reserved
Design by Provincetown Design