EB2Gov POS

Please select "Ambulance" from the transaction code drop-down menu. Be sure to enter all applicable information requested.

*An EB2Gov Transaction Fee of $1.50 will be added for each transaction.

Please select "Ambulance" from the transaction code drop-down menu. Be sure to enter all applicable information requested.

*An EB2Gov Transaction Fee of $1.50 will be added for each transaction.

Ambulance

Full Name:

Call Number:

Call Date:

Amount:

EB2Gov Fee:

Quantity:

Payment Amount:

Notes: