EAAN Membership

Apply to join the network

Complete the form below to apply for EAAN membership. Our team will review your application and respond within one business day.

EAAN Membership Form

Organization details

Tell us about your ambulance service provider

Name of organization*

Head office location*

Name of primary contact person for your organization*

Phone Number*

Email Address*

Fleet & coverage

Describe your service area and ambulance fleet

Which geographic region does your ambulance service cover?*

Which type of ambulances are in your fleet?*

Total number of Basic ambulances*

Total number of Advanced ambulances*

Compliance & billing

Licenses, registration, and payment details

Do you have licenses and certifications?*

Company registration number*

How do you handle billing or ambulance services?

e.g. per kilometers or per service, and do you accept insurance?