Team Up to Save Lives!

Partners for Life Online Member Registration

Join your organization’s commitment to saving lives by becoming a Partners for Life member. To attribute your donation towards your organization’s lifesaving goal, please complete the following registration form. If you are not eligible to donate, you can recruit a friend or family member to donate on your behalf.

(*) indicates a required field. SSL

Personal Information

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Partner ID#:*  Help
First Name:*
Last Name:*
Home Phone:* - -
Postal Code:*
E-mail Address:
Confirm E-mail:
Date of Birth:*

- - Help

Are you an Employee or Member of this Organization?*  Yes No
Have you donated blood before?*  Yes No
Unless you advise us otherwise, your name and email address will be shared with the organization you are registering on behalf of. This will enable your organization to provide you with program updates and information regarding opportunities to donate and to track membership in the program.
Please do not share my name and email address with the organization that I am registering on behalf of.
I would like to receive information about other Canadian Blood Services programs and initiatives.

 
If you have questions regarding whether or not you are eligible to donate blood, please contact Canadian Blood Services at 1 888 2 DONATE (1-888-236-6283).
Privacy Statement: Canadian Blood Services respects your privacy and will not sell, rent or share your information with others. Please read our Privacy Policy.
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