Request for Organizing Blood Donation Camp

Only for Delhi/NCR regions. Will be able to organize

Name of Organization/Camp*

When would you like to organize a camp*

Address of Rquested Blood Donation Camp*

City/Town*

State/Province*
—Please choose an option—DelhiHaryanaUttar Pradesh

Zip/Postal Code*

Number of expected donors*

Kind of camp arrangement*
—Please choose an option—Mobile BusVenue

Refreshment Arrangement*
—Please choose an option—SelfRequest IRCS to arrange

Your Name*

Your Phone Number (+91)*

Country code +91 will be added automatically

Your Email Address*

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