Apply online or renew your current membership and pay with a credit card. All applications processed online will be active once we obtain credit card confirmation from our credit card merchant.

We will mail the BEMCC card to you via the US postal service. If you have further questions or need your membership card number NOW in order to travel to Mexico, give us a call at 619-425-5080. We can assist you over the phone before your trip.

or PRINT and FAX it!

PRINT this application form. Application Form.

Note: Do you have Adobe Reader on your computer? If not, you may need to download and install Adobe Reader to view the
application form. It only takes a few minutes.

Fill out the application form legibly and completely. Verify that all the required fields on the form are correct in order to avoid delay of the processing of your membership. This information will assist us in an emergency situation.

FAX the application form to us at 619-425-4531

Mail a $45.00 check to us, payable to BEMCC:

Mailing address: BEMCC, 642 Third Avenue, Suite I, Chula Vista, CA 91910

After we receive your application form, allow us a few days to mail the BEMCC card to you.
If you have further questions, please do not hesitate to
contact us.

Note: Your medical insurance will be billed for the cost of the actual transport plus any other medical service fees.
BEMCC does not pay for the transport service. Our team coordinates the emergency evacuation.
We eliminate the uncertainty and confusion during a medical emergency.