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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 that AEDs are purchased through fundraising efforts by our paramedics. Only when enough funds are raised to cover the cost of an AED purchase will an AED donation be avaialble.

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