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Join as an apheresis donor (red blood cells, plasma and platelets)
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Identification
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First name:
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No.:
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Postal code:
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Please provide at least one telephone number
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Are you already a Héma-Québec blood donor?
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What is your donor number?
What is your blood type?
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B+
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O+
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Where did you fill out this form?
On the Héma-Québec Web site
At a blood drive
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In which city/town (e.g., Montréal)?
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At which location (e.g., McGill University)?
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Who asked you to fill out this form?
Volunteer
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Ambassador donor:
Other (friend, family member, co-worker, etc.), please specify:
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