Donate Blood Now!

If you don’t belong to any risk groups (if you are not homosexual, not addicted to drugs and don’t have a transmittable blood disease) and are in good health, we ask you to fill out the form below right now, so that we can refer you to the Thalassaemia Center closest to your home and provide you with information about your blood donation:

It is necessary to fill out the fields marked with an asterisk

* Name of the donator Address
District City
State ZIP  
 
Residential Phone Commercial Phone
E-mail Date of Birth
Blood Type
A O B AB
RH Factor
Positive Negative
Date of last donation