Know someone who likes to travel? Want 30 bucks? When you refer a friend or family member and they enroll at our standard rates, we'll send you a $30.00 Rebate check AND send the friend/family member a matching $30.00 Rebate check.*

Simply enter your contact information below, along with your recipient's name and email address and click "Send Referral". When they sign up, we'll mail you both a check. If they're not interested, we won't bother them (we don't even store their contact information).

Your Name:

Are you an Air Ambulance Card member?     Yes     No

Member #:

Leading zeros need not be entered

Your Email:		Save this email address as the email address on file for my membership   My Account password is:
Repeat It:

Address:
City:
State/Prov:
Zip/PC:

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I'd like to refer: Name:    Email:    Repeat Email:

I'd like to refer: Name:    Email:    Repeat Email:

I'd like to refer: Name:    Email:    Repeat Email:

Send Referral

* Our Matching Rebate offer applies to new enrollments only. It does not apply to membership renewal, reactivation of a lapsed membership, discounted group enrollments, or memberships sold by Air Ambulance Card commissioned sales agents. A member may not self-refer or be referred by a family member included on the same family membership. There is no limit to the number of new members you can refer; however, each new membership is limited to one referrer. If more than one individual refers the same new member, the first one to submit the referral will receive our $30 Rebate check.