Advancing the EMS profession

Agency Membership Sign-Up

The online application accepts payment by credit card only. If you wish to pay by check, please contact NAEMT by email at or by phone at 1-800-346-2368 to request an invoice and begin your application process.

The application must be completed by the Agency Representative/Contact only. Upon receipt, NAEMT will provide instructions on how to submit information for your individual Agency Members.

Agency Information
* Agency Name (Name of EMS Service)
* Agency Mailing Address:
* City
* Country
* State, Region or Province
* Postal Code
* Agency Website
* Agency Primary Contact Name
* Primary Contact Phone
* Primary Contact Email