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Create Defibrillator

With this form you can add a Defibrillator into our system. At first please specify the language of this entry.
Leave blank to use trimmed value of full text as the summary.
Please enter any description relevant to this Defibrillator here.
If your do know the sponsor of the AED, please enter.

Please specify the location of the AED

Please use the following fields to enter the location of the AED. You can also use the map, just click into it to create a movable marker.
Location


If you wish to supply your own latitude and longitude, you may enter them above. If you leave these fields blank, the system will attempt to determine a latitude and longitude for you from the entered address. To have the system recalculate your location from the address, for example if you change the address, delete the values for these fields.
You may set the location by clicking on the map, or dragging the location marker. To clear the location and cause it to be recalculated, click on the marker.

Images of the Defibrillator

Please upload a few images of the AED into our system. We have added three categories of images:
Close Shot Picture
A very close shot of the AED.
Distance Shot Picture
A distance shot showing the AED in the center of the image. This image is meant to simplify the discovery of the AED in the environment.
Map Picture
If this AED is inside a building, please upload a map of the floor and mark the location of the AED on the map.
Files must be less than 2 MB.
Allowed file types: png gif jpg jpeg.
Images must be between 320x240 and 2048x1536 pixels.
Files must be less than 2 MB.
Allowed file types: png gif jpg jpeg.
Images must be between 320x240 and 2048x1536 pixels.
Files must be less than 2 MB.
Allowed file types: png gif jpg jpeg.
Images must be between 320x240 and 2048x1536 pixels.

Opening Hours

Does the availabilty of this Defibrillator depend on some local opening hours? If yes, please enter the time when the AED is accessable.
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
from
until
Leave empty if no opening hours apply(24/7).
Leave empty if no opening hours apply(24/7).

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