ADMIRAL LEASED/TENANTED - DEFIBRILLATOR ENQUIRY

Admiral Taverns Leased & Tenanted locations providing Communities with life-saving Defibrillators

London Hearts is working with Admiral Taverns Leased & Tenanted locations to make life-saving Defibrillators available to local communities. To enquire please complete the following short form and a member of London Hearts team will be in contact shortly

ADMIRAL LEASED/TENANTED - DEFIBRILLATOR ENQUIRY

"*" indicates required fields

Organisation:*

Applicant Name:*

Email:*

Phone Number:*

Number of defibrillators requested:*

Equipment Required:*

Is your organisation VAT registered?*

Yes

No

Address*

Address Line 1 Address Line 2: Town Postcode

Different Defibrillator Delivery Address?

Defibrillator Delivery Address*

Address Line 1 Address Line 2 Town Postcode

APPLY FOR A DEFIB

London Hearts – Harlech House, 20 Cathedral Road, Pontcanna, Cardiff, CF11 9LJ.

info@londonhearts.org

Charity Number – 1180901 VAT Number – 317828189

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