Register Page

Emergency Ambulance Service Available

You can subscribe now have EMS ambulance coverage while you are in the San Pedro Sula - Copan Ruins Area. One Phone Call gets you an immediate response of a Doctor & Paramedic.

The Rate for this service is of U.S.$ 2.00/Day per Person, and the minimum charge is for 5 days (U.S.$10.00).

Register Now By filling out this Form and submitting it to us:

Give us some data about yourself:

First Name

Last Name

Date of Birth

Gender Male Female

Tell us where you live in the U.S.:

Address1

Address2

City

State

Zip Code

Country

Home Phone

E-mail

Where can we reach you in San Pedro Sula:

Address1

Address2

Phone if Known

How did you find out about us:(Optional)

Any Medical Conditions i.e. allergies, daily medications that you think EMS should now about?

Give us the Dates for which you want coverage:

First Name
Last Name
Date of Birth
Gender	Male Female

Address1
Address2
City
State
Zip Code
Country
Home Phone
E-mail