Virtual Blood Drive Registration Form

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Thank you for joining the 2020 Virtual Blood Drive! Please fill out this form and an NJBS Representative will reach out to schedule your appointment.

Your company/group name *

Your first & last name *

Your email address *

Your cell phone *

Your zip code *

Preferred method of contact *

text

call

any

Required

Additional info (Preferred blood drive, do you have a location in mind?)

Reminders

1. Prior to attending the blood drive remember to eat a good meal, drink plenty of water, bring your blood donor card or photo ID
2. Donors will be temperature prescreened prior to entering the blood drive area and must wear a face mask at the blood drive
3. Your donation will not be tested for COVID-19, do not donate blood if you have symptoms of COVID-19

Thank you for saving lives!

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