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Pine Beetle Festival Blood Drive Sign Up Form (Saturday, November 5th)
THIS INFORMATION IS TO ASSIST US IN SCHEDULING YOUR DONATION.
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Name (First and Last)
*
Your answer
Phone Number (no hyphens)
*
Your answer
Would you like a t-shirt?
*
Choose
Yes
No
What hour works for you?
*
Choose
I plan on coming but I don't know when. (Donors with appointments have priority)
12:00 - 12:45
1:00 - 1:45
2:00 - 2:45
3:00 - 3:45
Donate four (4) or more units of blood and you can earn your 2022 Blood Donor Challenge Coin. Restrictions apply. For more information and to register today go to
http://LifeShare.org/coin
Help a high school student receive the Honor Cord at Graduation. Donate on their behalf. The student must be at least 16 years old and have donated at least once to get your credit.
https://bit.ly/LSBC-HonorCord
Text Message Reminders
*
By checking this box I agree to receive text messages from a LifeShare Blood Center representative. My name and number will be used to schedule my appointment. I may opt-out by texting "STOP" at any time. Message and Data Rates may apply.
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