Saturday July 19, 2014
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
Date
Time
Donor Center
(* Spanish speaking staff is available at these donor centers.)
Enter validation
code (all caps)
    FZ7V4
I certify that I am 17 years or older. 












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