WORT 7th Annual Blood Drive
Monday Nov. 3rd, Noon - 6:00 pm

at the Goodman Community Center, 149 Waubesa Street

Instructions


1) Please enter your name and address.
2) A phone number or email is required -- we would however appreciate both
3) Select time, then click on the "submit" button at the bottom of the page. You will see a confirmation on the screen indicating that your request was successfully submitted.
4) If you entered an email address you will get confirmation of your selection by email when you click "submit"
5) If you need to change or cancel your appointment, call 256-2001 and ask the receptionist or a staff member to make the change.

First Name:
Last Name:
Address:
City:
St:
Zip:
Phone:
(area code first: xxx-xxx-xxxx)
Cell:
(area code first: xxx-xxx-xxxx)
Email:

Please scroll down to select Time Slot




Blood Drive Date: Monday, November 3rd

Time Slot Name
12:00 pm
Taken
Taken
12:15 pm
open
open
12:30 pm
open
open
12:45 pm
open
open
1:00 pm
Taken
open
1:15 pm
Taken
open
1:30 pm
open
open
1:45 pm
open
open
2:00 pm
open
open
2:15 pm
open
open
2:30 pm
open
open
2:45 pm
open
open
3:00 pm
open
open
3:15 pm
open
open
3:30 pm
open
open
3:45 pm
open
open
4:00 pm
open
open
4:15 pm
open
open
4:30 pm
open
open
4:45 pm
open
open
5:00 pm
open
open
5:15 pm
open
open
5:30 pm
open
open
5:45 pm
open
open

Thank You for Donating!!

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