Pledge to Donate
Before filling out this form, please read carefully the PDF available at http://docita.ly/pdfgiveback in order to understand if you are fit to donate.  Please be aware that, although the promoters will try to respect your preference, it cannot be guaranteed that your donation will be on time.
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Email *
First name
Last name
Age
Preferred time for donation
Available times from 8 a.m. to 12 p.m.
Time
:
Confidentiality and data protection privacy policy
This paragraph provides information on protection of data belonging to the Donors.
The Data Controller for processing the Donors data is the Association Doctors in Italy with registered offices in Rome, Via Frattina n. 48 – 00187. The Donors may contact the Association by email at contact@doctorsinitaly.org.
Data provided by Donors is processed for the following purposes: (i) to schedule the time for the donation; (ii) to inform Donors on any known change of schedule. Data will not be used for any purposes unrelated to this and future blood drives.

By pressing "Submit" you agree to the data processing according to this privacy policy.
A copy of your responses will be emailed to the address you provided.
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