Required fields are marked with asterisks (*)

HEARTSafe Community - AED Business Participation Form

Please fill out this form so that we can work to provide you with the best AED for your business.

For more information about this program, visit the AEDs and HEARTSafe Community webpage.

1. Business Name

2. Business Address

3. Contact Name

4. Email Address

5. Phone Number (Include extension if necessary)

6. Will your AED be located indoors or outdoors?

Indoors

Outdoors

Unsure

7. Will your AED be connected to WiFi or will you need a cellular connection?

WiFi

Cellular

Unsure

8. Do you have an old AED that you would like to trade in towards a newer model?

Yes

9. Will you want your AED to be wall mounted?

Yes

Unsure

10. Are you interested in submitting a donation with your order to help provide other businesses in Meridian Township with AEDs?

Yes

Unsure

Next Steps:

Once we receive your information, someone will be in contact with you to get an official quote created. If quotes are accepted and final price is confirmed, all payments can be made via check to the Meridian Economic Development Corporation. Once orders are placed with Stryker, all AEDs and supplemental equipment orders have a 4-6 week lead time.

Once your unit arrives, somoene will be in contact with you to arrange delivery and set up. Required training to use the AED will be provided by the Meridian Township Fire Department.

For questions, please contact Meridian Township's Neighborhoods and Economic Development Director, Amber Clark, at clark@meridian.mi.us or 517.853.4568.