Since then the charity, which relies entirely on donations, has completed more than 22,000 missions, making a difference to thousands of lives across the region.
These pictures are just a snapshot of some of the highlights during the past 21 years.
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Doreen Rigby and daughter Viv Greenwood managed to have a photo taken when the Air Ambulance landed in Bamber Bridge. Doreen had asked for donations to the Air Ambulance for her 80th birthday, raising 760 | other
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Colin Sigsworth, Andrew Stevens, Steve Campbell, Alan Rimmer, Phil Owen and Simon Thomas from Huntapac in Tarleton before the three peaks challenge to raise money for North West Air Ambulance | jpimedia
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