Dr. Charles Drew Blood Drive Report Form

Brothers, each chapter should submit this form because this is mandated by IHQ.

Talented Tenth District
Dr. Charles Drew - Blood Drive
Report Form

The committee is requesting that the Chapter Basileus, KRS, or Blood Drive Chair submit this form to the Tenth District Chair.

Please enter the full date of the Blood Drive.
Ex. Pi Beta/Illinois State University. Please use proper spelling with the first letter capitalized. DO NOT TYPE CHAPTER at the END.
Enter Blood Drive Chair's First Name. Please use proper spelling with the first letter capitalized.
Enter Blood Drive Chair's Last Name. Please use proper spelling with the first letter capitalized.
Enter Blood Drive Chair's personal email address.
Please enter your phone number - preferably your cell phone.
Enter your Control Number with two leading zeros. Ex. 009999999
Enter Blood Drive Information.
Ex. 123 S. Buck Rd.
Enter your city - Ex. Chicago. Please use proper spelling with the first letter capitalized.
Enter brother's zip code - Ex. 60606.
The number of participants that donated blood on this date.
The total number of pints that were donated on this date.