Saturday July 20, 2013 9am - 3pm American Legion Hall 51 Lions Drive in Lake Zurich OR Donate Any Time Use LZ32    COMMITMENT FORM: I PLEDGE TO MAKE A DIFFERENCE AND HELP OTHERS BY SCHEDULING A BLOOD DONATION APPOINTMENT TODAY! Please fill in the form below. All fields are required Your name Your zipcode Your email Your phone Day Choose Day Monday Tuesday Wednesday Thursday Friday Saturday Date Time Donor Center American Legion Hall | 51 Lions Dr. | Lake Zurich, IL | (July 21, 2012 Only) Lincoln Park | 1523 W. Fullerton Ave. | Chicago, IL 60614 * Portage Park | 4650 W. Irving Park Rd. | Chicago, IL 60641 State Of Illinois | 100 W. Randolph St. Suite 204 | Chicago, IL 60601 Arlington Heights | 24 W. Rand Rd. | Arlington Heights, Il 60004 * Crystal Lake | 5577 Northwest Hwy. | Crystal Lake, IL 60014 Glen Ellyn | 527 W. Roosevelt Rd. | Glen Ellyn, IL 60137 Glenview | 1205 N. Milwaukee Ave. | Glenview, IL 60025 Gurnee | 5250 Grand Ave. | Gurnee, IL 60031 Hoffman Estates | 1145 N. Roselle Rd. | Hoffman Estates, IL 60195 Lake Bluff | 223 Waukegan Rd. | Lake Bluff, IL 60044 Lake Zurich | 790 S. Rand Rd. | Lake Zurich, IL 60047 Lansing | 2 RIver Plaza Suite H | Lansing, IL 60438 Mundelein | 1513 S. Lake St. | Mundelein, IL 60060 Naperville | 2707 Aurora Ave. Suite 163 | Naperville, IL 60540 * Norridge | 5050 N. Cumberland Ave. | Norridge, IL 60706 Oak Lawn | 9630 S. Pulaski Rd. | Oak Lawn, IL 60453 Orland Park | 11120 W. 179th St. | Orland Park, IL 60467 Skokie | 4959 W. Golf Rd. | Skokie, IL 60077 * Villa Park | 100 E. Roosevelt Rd. Suite 10 | Villa Park, IL 60181 Westmont | 1133 Fairview Ave. | Westmont, IL 60559 (* Spanish speaking staff is available at these donor centers.) Enter validation code (all caps)     PPL4U I certify that I am 17 years or older.

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