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2. Please complete the following information to submit your AED information to CRESA in accordance with RCW 70.54.310. Upon completion, you may also want to register your AED with PulsePoint in order for it to appear to citizen responders who use the PulsePoint app.

4. Organization Name
6. Site Contact First Name
7. Site Contact Last Name
9. Email
10. Phone
12. Address
14. City
15. State
16. Zip Code
18. AED Type
19. Serial Number
21. Placement
23. Help us reduce spam by entering the name of the largest city in Clark County.*
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

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