Check Your Heart Capitol Rally RSVP Form We are excited to have you join us at the June 12, 2024 Capitol Rally in Lansing! Please complete the form below so we can better prepare. If you have any questions please contact [email protected] or call 866-500-5801.Su nombre(Requerido) Primero Último Correo electrónico(Requerido) TeléfonoInclude area codeDirección Dirección Ciudad Estado AlabamaAlaskaSamoa AmericanaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrito de ColumbiaFloridaGeorgiaGuamHawaiIdahoIllinoisIndianaIowaKansasKentuckyLuisianaMaineMarylandMassachusettsMichiganMinnesotaMisisipíMisuriMontanaNebraskaNevadaNew HampshireNew JerseyNuevo MexicoNueva YorkCarolina del NorteDakota del NorteIslas Marianas del NorteOhioOklahomaOregónPensilvaniaPuerto RicoRhode IslandCarolina del SurDakota del SurTennesseTexasUtahIslas Vírgenes de EE.UUVermontVirginiaWashingtonVirginia del OesteWisconsinWyomingFuerzas Armadas de las AméricasFuerzas Armadas de EuropaFuerzas Armadas del Pacífico Código postal Number of People(Requerido)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 receptor de trasplante Waiting for a transplant Medical professional Otro 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.Complimentary charter busesWe are working with our transplant center partners to help supporters attend the Capitol Rally. Let us know if you are interested in taking the free bus from one of these locations. We will be in touch with more info if you opt in. Not interested Ann Arbor (leaves from Gift of Life office) Grand Rapids (leaves from Corewell Health West - Butterworth) Bloomfield Township (leaves from Henry Ford Medical Center) How did you hear about the Capitol Rally?I'm a past participantTransplant Center/HospitalEmail messageRedes socialesFriend or family memberLifeLINES newsletterOtro
