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Your support is a critical component to the success of this campaign. Please take a moment to complete the information below. We will then begin to send you information and updates about the campaign, as well as certain promotional materials that are in development to assist you in promoting this week with your staff and community.

Blood Center:
Name:
Title:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
# of blood collectors on staff:
Replacing Contact (yes/no): Yes No
If yes, who are you replacing?:

The number of blood collectors you have on staff at your blood center(s) will be important information for us in ensuring you receive an accurate number of free give-aways for your collection staff during Blood Collectors Week.

 

 
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