Suncoast Communities Blood Bank
Schedule an Appointment Schedule an Appointment Locate a Blood Mobile Sponsor a Blood Drive Make a Financial Gift Donor Login
 
 
 

 

 

Presentation Request Form

Please complete and fax the form to the person and number below.

Suncoast Communities Blood Bank

Attn:  Kathy Kendall


(941) 951-2629 Fax


(941)-954-1600 Ext. 1021 Voice

School name:

Date(s) requested for presentation (MM/DD/YEAR)

2nd Choice:

I am interested in an educational program for all grade levels.
Grade level:
Number of classes:
Number of students per class:
Start / End time for each class:

Address of school:

Directions:

Teacher:
Phone number + Extension:
Fax number:
Best time to call:
Email address:

Sign in at main office:

VCR and TV available:

Comments:

Who may we contact to schedule a blood drive at your school: