Pay It Forward – Defibrillator Giveaway Application form

As part of our commitment to making the UK safer and more prepared for Sudden Cardiac Arrest, Defib Warehouse will be running a defibrillator giveaway every month.

The defibrillator will be donated to a charity or community somewhere in the UK. Do you have a special charity or community in mind that would benefit from a lifesaving defibrillator? Let us know and nominate them through the form below.

The impact of a defibrillator

Having a defibrillator nearby in a cardiac arrest can mean the difference between life and death. In the UK, survival rates for Out of Hospital Cardiac Arrest can be as low as 6%.

With immediate CPR and a defibrillator shock within 3 to 5 minutes, this can improved to as high as 74%.

Our defibrillator giveaway helps provide another AED into a community which could save a life when every second counts.

Complete the form below to nominate a community or charity to receive a free defibrillator

Full Name *
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Email address *
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Contact number *
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Company Name *
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Which charity or community are you nominating for a free defibrillator? *
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Why should this charity/community be considered? *
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