Assignment Saving Lives Contest!

To have a Canadian Blood Services contact you to provide you with your Partner ID so you can start the contest, please complete this form.

*use the address where you will be residing from June to September 2025

Once submitted, your local representative will contact you within 1 to 2 business days.

First Name

Last Name

Email Address

Street Enter your street address. e.g., 123 Main St

Unit/Suite

City

Province

Postal Code Enter your postal code in the format A1A 1A1.

Mobile Number Enter your mobile number in the format 234-567-8901. Do not include the country code.

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This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.