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Blood Drive July 22nd, 2019 - Kunkle Lounge
After checking the Google Schedule (see link below) for the available appointment times, please fill out the following information to confirm your blood donation appointment. This information will be entered into the American Red Cross online donation system.
Google Schedule:
https://docs.google.com/spreadsheets/d/19KjD_Q51CIW9qUUgCy9ChaKAad6GslNU-ejkzZ2B51w/edit?usp=sharing
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* Indicates required question
Goal: 40
Current Number of Donors: 35
Full Name:
*
Your answer
Phone Number
(###) - ### - ####
Your answer
Email Address
*
Your answer
Donation Type
*
Blood
Power Red
Donation Time
*
Choose
11:30 AM
11:45 AM
12:30 PM
12:45 PM
1:00 PM
1:30 PM
2:00 PM
2:15 PM
2:30 PM
3:00 PM
3:15 PM
Have you traveled outside the United States in the last year?
*
Yes, and I have called (1-800-733-2767) to see if I am still eligible to donate
Yes, but I have NOT called (1-800-733-2767) to see if I am still eligible to donate
No, I have not traveled outside the United States in the last year
Are you International?
*
Yes, and I have called (1-800-733-2767) to see if I am still eligible to donate
Yes, but I have NOT called (1-800-733-2767) to see if I am still eligible to donate
No, I am not
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