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Application for AED Donation

Not-for-profit organizations within the Northumberland community may apply to Northumberland Paramedics for the donation of an AED.

Complete this application form to express your interest.

Please note: AEDs are provided through fundraising efforts and community donations. An AED can only be donated once sufficient funds have been raised to cover the full cost.

Name of Organization

Address

Primary Contact Name

Phone Number

Email Address

Is your organization Not-For-Profit?

Yes

Does your organization focus on sport or physical activity?

Yes

Is your facility a place where elderly or people with high-risk medical conditions meet?

Yes

Please provide further details about your facility to support your application. Helpful information includes: frequency of use, types of activities and community groups that regularly use your space, past need for AEDs, etc.

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Application for AED Donation