2023 Nothing Cooler Than Saving Lives Copy

Staff Only Order Form

All fields marked with * are required.

Generosity isn't what you do. It's who you are. For people in need, blood products donated by heroes like you can change everything. Thank you for being part of our lifesaving team at ImpactLife. As a token of our gratitude, you’re eligible for an e-gift card OR 20-can cooler tote if you gave with ImpactLife between March 20 - April 30, 2023.

Valid for one gift per presentation to donate during promotional period. Orders will be accepted through May 7, 2023.

Date of Donation *

Donor ID Number (If unknown, leave blank.)

(found on Donor ID card, but not required to submit order)

My planned donation procedure (completed or deferred) was: *

Which best describes this donation (completed or deferred): *

Which donor center did you donate at? *

If you did not donate at a donor center, please fill in the mobile blood drive host/group and location here:

Select a gift: *

Donor Birth Date *

Donor First Name (as written on Donor ID card): *

Donor Last Name (as written on Donor ID card): *

Address 1 *

Address 2

City *

State *

Zip/postal code *

Email Address: If ordering an electronic gift card, this is the email address we'll send your e-gift card: *

Cell/mobile phone number. If none, please leave blank.

Tell us why you give!

Can we share your story on marketing materials?

+Donations back to our organization represent cost savings that can be applied to operating expenses and equipment needs, such as purchasing a new centrifuge, automation equipment for apheresis donations, a new box truck, or bloodmobile. For additional information, click here to email us.

** ImpactLife has partnered with the National Forest Foundation (NFF) to plant trees in U.S national forests! Every $1 donated to National Forest Foundation plants one tree. Your donation to the NFF will be the same value as the gift card you would have earned with this donation. For more details, please see www.bloodcenter.org/tree

The merchants represented are not sponsors of the rewards or otherwise affiliated with this company. The logos and other identifying marks attached are trademarks of and owned by each represented company and/or its affiliates. Please visit each company's website for additional terms and conditions.

Darden’s family of restaurants includes Olive Garden, LongHorn Steakhouse, Cheddar’s Scratch Kitchen, and more.

Nothing Cooler Than Saving Lives

This order is not placed until you click the blue “Submit” button below. Please review your information carefully before doing so.