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We can help with all aspects of your application including fundraising, grants and all other questions that you may have.

Please email info@londonhearts.org for more information on available funding.

Name of Organisation

Name

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Phone number

Organisation Address

City

Postcode

Delivery Address

Delivery City

Delivery Postcode

If defibrillator is to be stored outdoors, please select the type of cabinet required

If defibrillator is to be stored indoors, please select the type of cabinet required

Is the defibrillator to be located in a telephone box?

Yes
No

Are you registered for VAT?

Yes
No

Number of Defibrillators requested.

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