November 11th Blood Battle Drive Appointments

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November 11th Blood Battle Drive Appointments

Please fill out the info below! The blood drive is on November 11th. Thank you for doing your part and saving lives!

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* Indicates required question

First name *

Your answer

Last name *

Your answer

Phone Number *

Your answer

Appointment Time (11 am - 5 pm) *

11-11:30

11:30-12

12-1:30

1:30-2

2-2:30

2:30-3

3-3:30

3:30-4

4-5

Are you donating double red? *

Yes

No

Blood Type (Optional)

Your answer

Did anyone recruit you? List name if so

Your answer

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