Contact the Crew

Message to the Crew*
Do you consent to the Charity using your message in promotional materials (press and digital)?*
- Yes
- No
Are you the patient?*
- Yes
- No
Patient name
What is your relationship to the patient?
Date of incident*
Location of incident*
Can we share your story? It would really help us
Real life stories from people who have been affected by our actions are the most effective way to raise awareness of the Charity and what we do.
However, we cannot use patient information without permission. So if you are happy to share your story and help us to raise our profile, please let us know.
Can we contact you about using your story in promotional materials (press and digital)?*
- Yes
- No

Your name*
First Last
Email*
Telephone number*
Address*
Can we keep in touch with you?*
Your support is valuable to us as together we can help keep saving lives.
- Email
- SMS
- Post
- Telephone
- None of the above
What would you like to hear about?
- All Communications
- Charity news
- Fundraising
- Lottery/Raffle
What is your preferred method of communication?
Please be assured your details will not be passed on to third parties for their own use but only to support the charitable objectives of Essex & Herts Air Ambulance.

You can opt out of receiving these communications at any time by calling 0345 2417 690 or unsubscribing from any email communication we send you.
Please be assured your details will not be passed on to third parties for their own use but only to support the charitable objectives of Essex & Herts Air Ambulance.

You can opt out of receiving these communications at any time by calling 0345 2417 690 or unsubscribing from any email communication we send you.

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