Request a talk - Great North Air Ambulance Service

Where is the venue*

Venue postcode?*

ZIP / Postal Code

Venue address*

Street Address Address Line 2 City County / State / Region Country

Is the venue wheelchair accessible?*

Yes
No

Requested date*

Please Note: requests that fall within four weeks of your event date might not be fulfilled due to advanced scheduling, although we will try to accommodate where possible. Please add any additional dates in the comments box below.

Requested time*

:

Is this flexible?*

How many people will attend? (approx)*

Does the venue have a screen or blank wall to project onto?*

Is there car parking for our representative?*

Would you be interested in opening this talk up to other members of your community?*

Would you be interested in hearing more about holding a community clothing collection?*

By selecting yes, your details will be sent to our recycling team who will be in touch to make the necessary arrangements.

Any additional comments?

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

*Representative selection*

Please select a representative to be assigned to this activity. If you don't know at this point, please leave it for the approver to allocate

Volunteer Name*

Does this need to go onto Volunteero?

Yes
No

How many maximum volunteers would you like?

Are there any volunteers you would like assigning automatically?

Request a community talk

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To request your talk, please fill out the form below.

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