Blood Donation Campaign by Jion Pharmacy

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Your blood donation can save lives. Let's come together and make a difference in our community.

Blood Donation Campaign by Jion Pharmacy
Date : 3rd November 2024 (SUN)
Time : 9am - 4pm
Venue : Jion Pharmacy YMCA Branch
211, Jalan Macalister, Georgetown 10400 Penang
🏠https://g.co/kgs/dEh4P7G
WhatsApp : 012-4868262 https://bit.ly/JIONYMCA

Early Bird Registration !!! Register before : 15th October 2024
FREE Goodies Bag for FIRST 100 pax
FREE Health Screening for everyone - bring your family & friends !
FREE Sampling

Can't wait to see you there !

Email *

Donor Name *

Contact Number *

Choose your time slots *

9.00am - 9.30am

9.30am - 10.00am

10.00am - 10.30am

10.30am - 11.00am

11.00am - 11.30am

11.30am - 12.00pm

12.00pm - 12.30pm

12.30pm - 1.00pm

1.00pm - 1.30pm

1.30pm - 2.00pm

2.00pm - 2.30pm

2.30pm - 3.00pm

3.00pm - 3.30pm

3.30pm - 4.00pm

Have you donated blood before ? *

Yes

How did you hear about this blood donation drive?

Social Media

Jion Pharmacy's outlet

From Family or Friends

From YMCA

From Lions Club of Georgetown Central

From St John Ambulance of Malaysia

From SJKC (C) Sum Sun School Charity

钟灵校友会

Other:

Clear selection

What is your blood type ? *

A+

A-

B+

B-

AB+

AB-

O+

O-

Not Sure

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms