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Presentation Request Form

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

Suncoast Communities Blood Bank
Attn:  Betty McQueen, Volunter Coordinator
(941) 951-2629 Fax
(941) 954-1600 Ext. 150 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:
 
 

  

  

 

  

Suncoast Communities Blood Bank

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Suncoast Communities Blood Bank
1760 Mound Street, Sarasota, Florida 34236
941-954-1600

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