AED Donation Application

Are you or your organization in need of an AED? Apply to our foundation here.

AED Donation Application Form
Is your organization located in CT?
We're sorry, but donation requests are currently limited to organizations in Connecticut. However, any U.S. organization can submit an application for In A Heartbeat to create a fundraising campaign to help you acquire an AED.

Form fields

Is this a 501c3 nonprofit organization?
Address
Address
City
State/Province
Zip/Postal
Does your organization currently have an AED within 3 minutes of all locations?
Is your organization willing to set up a complete AED program which includes having trained responders, an Emergency Action Plan, and a plan to maintain your AED?
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Make a Donation or Give an AED Today