S-SV EMS Online Payment Center

Credit/Debit Cardholder's Name *

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Is this payment for the Cardholder named above? *

Credit/Debit Cardholder's Email *

Credit/Debit Card Billing Address (zip code must match credit/debit card billing zip code) *
Address Line 1
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Select Applicable Fee
EMT/AEMT Initial Certification - $ 124.00
EMT/AEMT Recertification - $ 86.00
MICN Authorization - $ 104.00
Paramedic Accreditation - $ 104.00
EMR Certification/Recertification - $ 39.00
Printed Field Manual - $ 10.00
Replacement Card - $ 10.00

Total Amount
$ 0.00

Credit/Debit Card Information *
Card Number
Expiration
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Security Code