Application Form
Donate 100,000’s AirBoom to
Heart Blockage Patient
This Charity Donation is donated by
Air-Boom.com
Terms and conditions：
1. Applicant
has to present/scan
their medical certificate.
2. Successful applicant is subject
to availability of FREE unit
and within our service territory
3. N$15 postage fee is required for
non walk in applicants.
