Blood Center
Host A Drive Registration Form

Thank you for your interest in supporting the Scott & White Blood Center. By hosting a blood drive, your organization will help ensure a stable blood supply and adopt an excellent community service project benefiting the patients in our community.

 
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Today's Date:
First Name*:
Last Name*:
Daytime Phone*:
E-mail*:
Type of Drive:
Name of Above Location*:
City*:
Preferred Month*:
Preferred Time of Day*:
Additional Information/Comments:
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Scott & White • 2401 S. 31st St. • Temple, TX  76508
• 254-724-2111 • 800-792-3710 • 254-724-3038 (TTY)
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