+254 (726) 000 033
+254 (732) 000 033
info@wobsemergencycare.co.ke
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Membership Registration
family Membership
Form
This Covers 24/7 Ambulance membership for families in towns where Wobs has ambulances.
Member Information
Full Names
Email Address
Active Phone Number
Date of Birth
ID Number
Gender :
Male
Female
County
Town
Blood Group
Madecal Condition If any
Select
Stroke
Asthma
Paralysis
Epilepsis
Diabetes
Hypertension
Number of Dependants
Register
