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Register for a Pod
Pod Inquiry Form
Name
First
Last
Company/Organization:
Title:
Email
Phone
City:
State:
DE
MD
VA
PA
Zip Code:
Organization Type:
Business
Church/Faith-Based Group
Civic/Community
Education
Healthcare
Media Outlet
Military
Government/NGO
Other
Do you have at least 25+ interested donors? (If you have less than 25 donors, a BBD representative will contact you about donating at a center through our Digital Hero Program.)
Yes
No
Not sure
Have you or your organization hosted a blood drive before?
Yes
No
Not Sure
How did you hear about hosting a blood drive with BBD?
Marketing Campaign
Community Booth
Referral
Website
Other
If you selected "Other", please share how you heard about hosting a blood drive with BBD.
Do you have a reason/personal story that motivated you or your organization to host this drive?
Yes
No
Comments
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