Blood Donation
For the sake of humanity by The Allwynn and PMI, 10 - 12 July 2020

ABOUT BLOOD DONOR

Blood Donation

Participate in blood donation activities presented by The Allwynn Grand Ballroom and supported by Palang Merah Indonesia (PMI).

Please to fill the form bellow

Your Name*
Phone Number*
Your Email*
Your Address*
Your Birthday*
Your Gender*
*Change calendar to July
Your Blood Type*
Have you ever donated?*

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OUR ADDRESS

CIBIS Business Park #301
Jl. TB Simatupang No. 2
Pasar Minggu,

South Jakarta 12560

T: 0815 2559 966
T: 08588 2559 966

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