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Championing Early Defibrillation in Your Community DVD

To place an order for additional copies of the "Championing Early Defibrillation in Your Community" DVD, please complete the form below or contact us at 1-888-201-0229.

The list price of the DVD is $20/per DVD. Discounts will apply.

(* required fields)

*First Name:		*Last Name:

Position/Title:

Organization:

*Address:

*City:	*State:	*Zip:

*Phone:		*Email:

* What has heightened your interest in community early defibrillation?

* Are you aware of existing AED programs (or AED use) in your community? If yes, please note location:

* Is your community considering an early defibrillation program? If so, please note the timeframe:

* What locations are you considering?

* What form of follow-up would you like?

* Is your implementation project funded?

* Please note the number of DVDs you would like to order. (The list price is $20/per video. Discounts will apply.)


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