Please fill out the form once you click "Pay Now" to order your Address Marker. 

If you prefer to pay via check, please print off this form and mail to our location. Please make check payable to Ricmond Lenox EMS Ambulance Authority. 

Mail form and check to: Richmond Lenox EMS Ambulance authority
34505 32 Mile Road, Richmond, MI 48062

Please give us 1-3 business days to complete your sign. Once complete you will receive a phone call and your sign will be available for pickup at Richmond Lenox EMS on 32 Mile Road.