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Presentation Request Form

Please complete and send or print and fax the form to the person and number below.

SunCoast Blood Bank
Attn: Joan Leonard, Volunteer Coordinator
(941) 951-2629 Fax
(941) 954-1600 Ext. 150

School Name:
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Date(s) requested for presentation (mm/dd/yy):
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2nd Choice:
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Grade Level:
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Number of classes:
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Number of students per class:
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Start / End time for each class:
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Address of school:
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Directions:
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Teacher:
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Phone number + Extension:
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Fax number:
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Best time to call:
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Email:*
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VCR and TV available:
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Comments:
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Who may we contact to schedule a blood drive at your school:
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Contact Us

Schedule Blood Donation:
1-866-97-BLOOD (972-5663)

Contact Business Office:
941-954-1600

CONTACT US

Donor Centers