Versiti - Jogger Request Form | The Beacon Club for Platelet Donors | Versiti
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Beacon Platelet Club Jogger Request Form

Thank you for your lifesaving platelet donations!

 

Please complete the form below with your name and contact info. Stay cozy and wear with pride, you are an elite platelet donor!

Note: joggers will be mailed to the address provided -- watch for your shipment after the first of the year.

Ordering Form

Shipping and Sizing Information

Please complete the shipping and jogger size information below.

Small, medium and large sized joggers are currently backordered. Please expect delayed shipping.

* Fields are required.

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