Please collect my collection pot

Thank you for raising vital funds for London’s Air Ambulance Charity by hosting one of our lifesaving collection pots.

Please complete this simple form below and our collection volunteers will organise a time to visit you, collect your full pot and replace it with a new one, if required.

First name

Last name

Email

Mobile

Name of business or club where the pot is located

Address of where the pot is located

Address

Address 2

City/Town

County

Post Code

Preferred time to collect your pot

Please note that collection times are normally around 2 weeks from the date you have notified us. If your pot is completely full, then please consider storing it safely away until we can collect it.

Keep in touch

Your support helps us to save lives we’d love to keep you updated with our latest new, fundraising activities, events and appeals.

I'm happy to be contacted by email

Yes, please

No, sorry

I'm happy to be contacted by phone

Yes, please

No, sorry

We may also contact you by post. If you do not wish to hear from us, or have a preferred contact method, simply let our friendly Supporter Care team know by calling 020 3023 3319 or emailing [email protected]

*Please see our Privacy Statement for details of how we will use your personal information and keep it safe and secure.

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If you have any questions or cannot complete the form, you can call email us at [email protected] or call 0203 023 3300.