Request a collection tin - Great North Air Ambulance Service

Hidden

Is admin user

Yes

Hidden

Donor number (if known)

Business/group name*

Name*

Title First Last

Email*

Phone*

Hidden

This is my

Collection box postcode*

Please enter your postcode to find your address

ZIP / Postal Code

Address

Street Address Address Line 2 City Country

Hidden

Or, enter address manually

Has a collection box already been placed?*

For staff use only. If the collection box has already been placed at the venue, please select 'Yes' so that a duplicate box isn't sent.

Yes
No

How would you like your collection tin to be serviced?*

You will only be able to select to have your collection tin serviced by the charity if you are inside one of the supported post code areas.

Correspondence Address

Same as above
Enter Manually

Correspondence Postcode

ZIP / Postal Code

Correspondence Address

Street Address Address Line 2 City Country

Opening Hours*

Has the supporter been given a welcome / thank you letter?*

Yes
No

Additional information

Staff Marketing Consent Script
We'd love to keep you up-to-date with our life-saving missions and how you can help us rescue more people through fundraising, events and volunteering. Would you prefer this by email, SMS or both?

We may also occasionally contact you by post or phone. You can tell me now or at any point in the future if you’d prefer us not to do this. [For background – it is unlikely that we would contact them more than four times a year by phone/post]

How would you like to hear from us?

We'd love to keep you up-to-date with our lifesaving missions and how you can help us rescue more people through fundraising, events and volunteering. Please let us know how you'd like to hear from us.

Email
SMS

We also communicate with supporters by post or telephone to tell you more about our critical care service and the exciting ways you can support us. You can read more about this in our Privacy Policy or you can click here to not receive communications this way.

Opt-Out of communications by

Post
Telephone

Request a Collection Box