Check Your Heart Capitol Rally RSVP Form We are excited to have you join us at the Tuesday, June 17, 2025 Capitol Rally in Lansing! Please complete the form below so we can better prepare. If you have any questions please contact info@golm.org or call 866-500-5801.Your Name(Required) First Last Email(Required) PhoneInclude area codeAddress Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Number of People(Required)Including yourself, how many people are you RSVP'ing for?What is your connection to donation/transplant?Check all that apply Donor family member Living organ donor Transplant recipient Waiting for a transplant Medical professional Other March of HonorDo you plan to participate in the March of Honor (at noon) as a donor family member, living donor, transplant recipient or patient on the waiting list? Yes! Not sure yet No How many in your group plan to march?If others in your group will join you in the March of Honor, let us know how many total.Complementary BusesWould you be interested in more information about busing from Grand Rapids, Ann Arbor or Metro Detroit? Yes! Not sure yet No How did you hear about the Capitol Rally?I'm a past participantTransplant Center/HospitalEmail messageSocial mediaFriend or family memberLifeLINES newsletterOtherUntitled First Choice Second Choice Third Choice
